李涧

[摘要] 目的 探讨分析未足月妊娠胎膜早破的潜伏期、终止妊娠时机及分娩方式对母儿预后的影响。方法 回顾性分析该院于2012年4月—2013年8月收治的160例（28～36）+6周为未足月妊娠胎膜早破孕妇的病历资料，依据孕周分为小孕周组和大孕周组，其中小孕周的孕周为（28～34）+6周未足月妊娠胎膜早破孕妇，大孕周为（34～36）+6周未足月妊娠胎膜早破孕妇。结果 小孕周组未足月妊娠胎膜早破孕妇新生儿并发症发生率明显高于大孕周未足月妊娠胎膜早破孕妇新生儿并发症的发生率。小孕周组未足月妊娠胎膜早破孕妇的潜伏期时间大于大孕周组未足月妊娠胎膜早破孕妇潜伏期，小孕周组和大孕周组新生儿的并发症发生率和孕妇未足月妊娠胎膜早破的潜伏期进行比较，P<0.05，差异有统计学意义。小孕周组和大孕周组未足月妊娠胎膜早破孕妇的产褥感染发生率以及产后的出血量进行比较，P>0.05，差异无统计学意义，具有可比性。同时未足月妊娠胎膜早破孕妇新生儿的分娩方式对新生儿预后无明显差异。结论 未足月妊娠胎膜早破孕妇的孕周一旦<35周，应及时的治疗，同时>35周的未足月妊娠胎膜早破孕妇应积极的终止妊娠，未足月妊娠胎膜早破孕妇新生儿的分娩方式应对产科常规加以遵循。

[关键词] 未足月妊娠胎膜早破；孕妇；潜伏期；终止妊娠；分娩方式；母儿预后

[中图分类号] R71 [文献标识码] A [文章编号] 1674-0742（2015）01（b）-0020-02

Without premature rupture of membranes the latency， pregnancy termination timing and mode of delivery on maternal and perinatal prognosis

LI Jian

Department of obstetrics and gynecology at chang geng Memorial Hospita in Fujion City of xiamen Province，361022

[Abstract] Objective To investigate the analysis without premature rupture of membranes the latency， pregnancy termination timing and mode of delivery on maternal and perinatal prognosis. Methods review of 160 cases of（28～36）+6 weeks of analysis of our hospital in 2012 April to 2013 year in August admitted to premature rupture of membranes pregnant women's medical records， according to gestational weeks divided into small gestational age group and gestational weeks， the small gestational weeks gestational weeks for（28～34）+6 weeks of term pregnancy women with premature rupture of membranes for（34～36）+6 weeks of pregnancy， full-term pregnant women with premature rupture of membranes. Results the small gestational weeks premature rupture of membranes maternal neonatal complications incidence rate was significantly higher than that of high gestational week full-term pregnant women with premature rupture of membranes neonatal complications. Small gestational weeks premature rupture of membranes of pregnant women is greater than the incubation period of gestational weeks premature rupture of membranes pregnant latency， small gestational age group and gestational weeks of neonatal complication rate and pregnant women with premature rupture of membranes of incubation were compared， P<0.05， there was statistical significance. Small gestational age group and gestational weeks premature rupture of membranes of pregnant women and the incidence of puerperal infection puerperal hemorrhage volume were compared， P>0.05， no statistical significance， comparability. At the same time not full-term premature rupture of membranes pregnant women showed no difference in neonatal neonatal prognosis. Conclusion premature rupture of membranes of pregnant women pregnant weeks when less than 35 weeks， should be timely treatment， at the same time more than 35 weeks premature rupture of membranes pregnant women should actively the termination of pregnancy， preterm pregnancy with premature rupture of membranes of pregnant women to follow routine obstetric neonatal response.

[Key words] premature rupture of membranes； pregnant women； latency； termination of pregnancy； delivery mode； maternal and neonatal prognosis

胎膜早破作为孕妇围生期最常见的一种并发症，常伴有较高的早产率、宫内感染以及产褥感染率等，进而严重影响着产妇和胎儿以及新生儿的生命安全[1]。临床上将孕周<37孕周的胎盘早破成为未足月妊娠胎膜早破[2]。……