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目的探讨未足月胎膜早破的临床处理及妊娠结局。方法选取2011年10月-2013年10月于医院实施治疗的未足月胎膜早破患者200例,将孕周<35周者作为A组,≥35周者作为B组,根据其孕周及病情进行对症治疗,对2组妊娠结局进行观察。结果 200例患者中,阴道分娩157例,剖宫产43例;A组阴道分娩率明显高于B组,剖宫产率明显低于B组,且在妊娠结局上差异有统计学意义(P<0.05)。结论未足月胎膜早破对母婴健康均产生严重影响,且孕龄越小,母婴发病率越高,适时采取措施终止妊娠是改善妊娠结局的关键。
Objective To investigate the clinical treatment of preterm premature rupture of membranes and pregnancy outcome. Methods From October 2011 to October 2013 in our hospital, 200 cases of premature rupture of membranes were enrolled in this study. Patients with gestational weeks less than 35 weeks as group A and those with more than 35 weeks as group B were enrolled in this study. And the condition of symptomatic treatment, the 2 groups observed the outcome of pregnancy. Results Among the 200 patients, vaginal delivery was 157 cases and cesarean section was 43 cases. The vaginal delivery rate in group A was significantly higher than that in group B, and the rate of cesarean section was significantly lower than that in group B, and the difference was statistically significant in pregnancy outcome (P <0.05). Conclusion The preterm premature rupture of membranes has a serious impact on maternal and infant health, and the smaller the gestational age, the higher the incidence of maternal and infant, and timely measures to terminate the pregnancy is the key to improve pregnancy outcomes.