摘要
目的:探讨干预性早产的病因、分娩方式、分娩时机及对母婴预后的影响。方法:回顾性分析我院74例干预性早产病例的临床资料。结果:早产发生率为6.33%,其中干预性早产占42.05%。重度子前期是干预性早产的首位因素。干预性早产组的剖宫产率明显高于自然早产组(P<0.01);干预性早产组早产儿窒息率明显低于自然早产组(P<0.01);干预性早产组产妇产后出血、围生儿死亡率明显低于自然早产组(P<0.05);孕周≥34周,体重≥2000 g的早产儿并发症发生率及围生儿死亡率明显低于孕周<34周、体重<2000 g的早产儿(P<0.01)。结论:适时选择干预性早产对降低孕产妇死亡率及提高围生儿存活率有益处。
Objective：To discuss the cause of controlled premature delivery, its termination method of pregnancy, the best delivery time and the prognosis of the pregnant women and the newborns. Methods：The clinical data of 74 cases of controlled premature delivery were retrospectively analyzed. Results： The incidence of premature delivery was 6.33% and the incidence of controlled premature delivery was 42.05%. Severe pre-eclampsia was the most important reason of controlled premature delivery, then was premature rupture of membrane （PROM）, fetal distress, pregnancy with medical disease, placenta previa, placenta abruption. The cesarean section rate of controlled premature delivery was 91.89% ,which was significantly higher than that of natural premature delivery （23.53%）（ P 〈0.01） ;the rate of preterm infants suffocation in controlled premature delivery was significantly lower than that of natural premature delivery （ P 〈 0.01 ） ; the rate of postpartum hemorrhage, death of pednatal infants in controlled premature delivery was significantly lower than that of natural premature delivery （ P〈 0.05）. The complication rate and death rate of preterm infants with gestational weeks≥34 weeks, birth weight≥2000 g were significantly lower than those of the preterm infants with gestational weeks 〈 34 weeks, birth weight 〈 2000 g （ P 〈 0.01 ）, Conclusions： Appropriate choice of controlled premature delivery can be beneficial to lower the mortality of pregnant women and increase the survival rate of perinatal infants.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2007年第5期303-306,共4页
Journal of Practical Obstetrics and Gynecology
关键词
早产
干预性早产
剖宫产术
分娩时机
Premature delivery
Controlled premature delivery
Cesarean section
Termination time
