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黄键宁1,梁嘉欣1,邱伟航2.74例近足月胎膜早破的临床分析[J].中国医药科学,2020,(1):145-148        基金项目:
74例近足月胎膜早破的临床分析
Clinical analysis of 74 cases of near full-term infants with premature rupture of membranes
  
DOI:
中文关键词:  近足月儿;胎膜早破;引产;剖宫产;期待治疗;新生儿
英文关键词:Near full-term infants;Premature rupture of membranes;Induction of labor;Cesarean section;Expectant treatment;Neonate
作者单位
黄键宁1,梁嘉欣1,邱伟航2 1. 广州市增城区人民医院产科,广东广州 511300;2. 广州市增城区人民医院检验科,广东广州 511300 
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中文摘要:
      [摘要] 目的 探讨近足月胎膜早破立即分娩与保胎治疗对母婴结局的影响。 方法 选取 2018 年 1 ~ 12 月我院收治近足月胎膜早破孕妇 74 例,按不同治疗方案分为 A 组和 B 组,每组 37 例。A 组行引产或剖宫产以终止妊娠,B 组给予保胎治疗。比较两组分娩方式、分娩期并发症及新生儿不良结局。 结果 两组剖宫产及阴道助产的发生率比较,差异无统计学意义(P > 0.05)。两组产后出血、胎盘早剥及产褥感染的发生率比较,差异无统计学意义(P > 0.05)。两组新生儿败血症的发生率比较,差异无统计学意义(P > 0.05);B组肺透明膜病、新生儿黄疸、新生儿窒息、新生儿肺炎及新生儿低血糖症的发生率显著低于 A 组,差异有统计学意义(P < 0.05)。 结论 对于未临产且无保胎治疗禁忌证的近足月胎膜早破,保胎治疗较立即引产对母婴结局产生更有利影响。
英文摘要:
      [Abstract] Objective To explore the effects of immediate delivery and preventing miscarriage treatment on maternal and infant outcomes in near full-term infants with premature rupture of membranes. Methods 74 pregnant women who had near full-term infants with premature rupture of membranes and admitted to our hospital from January to December 2018 were selected.According to different treatment regimens,they were divided into group A and group B,with 37 cases in each group.Pregnant women group A underwent induced labor or cesarean section to terminate the pregnancy while group B was given preventing miscarriage treatment.Delivery modes,delivery complications and neonatal adverse outcomes were compared between the two groups. Results There was no statistically significant difference in the incidence of cesarean section and vaginal midwifery between the two groups (P > 0.05).There was no statistically significant difference in the incidence of postpartum hemorrhage,placental abruption and puerperal infection between the two groups (P > 0.05).There was no statistically significant difference in the incidence of neonatal sepsis between the two groups (P > 0.05).The incidence of hyaline membrane disease,neonatal jaundice, neonatal asphyxia,neonatal pneumonia and neonatal hypoglycemia were significantly lower in group B than in group A,and the differences were statistically significant (P < 0.05). Conclusion For near full-term premature rupture of membranes that is not in labor and has no contraindications for preventing miscarriage treatment,preventing miscarriage treatment has a more favorable effect on maternal and infant outcomes than induction of labor immediately.
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