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目的分析高海拔地区胎膜早破的治疗效果和预后情况,以供参考。方法选择2010年9月至2012年8月本院胎膜早破孕妇200例作为研究对象,根据是否足月分组。A组为未足月孕妇,行期待疗法。B组为足月孕妇,及时终止妊娠。对比两组妊娠结局的差异性。结果对比两组孕产妇结局发现,差异无统计学意义(P>0.05)。对比两组围产儿结局发现,B组并发症发生率、死亡率均明显低于A组,差异具有统计学意义(P<0.05)。结论高海拔地区孕产妇易发生胎膜早破,在临床工作中应予以重视。其中未足月胎膜早破者新生儿结局较差,在治疗过程中应在保证母婴安全的前提下尽量延长妊娠期。
Objective To analyze the therapeutic effect and prognosis of premature rupture of membranes in high altitude areas for reference. Methods 200 cases of pregnant women with premature rupture of membranes in our hospital from September 2010 to August 2012 were selected as study subjects and divided into groups according to whether they were given or not. Group A is not full-term pregnant women, waiting for treatment. Group B was full-term pregnant women, timely termination of pregnancy. Differences in pregnancy outcome between the two groups were compared. Results Comparison of the two groups of maternal outcomes found no significant difference (P> 0.05). Comparing the two groups of perinatal outcomes found that the incidence of complications and mortality were significantly lower in group B than in group A, the difference was statistically significant (P <0.05). Conclusion Maternal premature rupture of membranes in high altitude areas should be taken seriously in clinical practice. One of the premature rupture of membranes of newborns poor outcome in the course of treatment should be to ensure the safety of mothers and infants as far as possible to extend the pregnancy.