南方医科大学学报 ›› 2004, Vol. 24 ›› Issue (01): 59-61.

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早产相关因素分析及其围产期处理

余艳红, 龚时鹏, 苏桂栋   

  1. 第一军医大学南方医院妇产科, 广东, 广州, 510515
  • 出版日期:2004-01-20 发布日期:2004-01-20
  • 基金资助:
    收稿日期:2003-10-23。
    基金项目:广东省社会重大问题联合攻关项目(ZKB04701S)
    作者简介:余艳红(1962- ),女,教授、主任医师,电话:020-61641907

Study on related factors of premature delivery and perinatal management

YU Y an-hong, GONG Shi-peng, SU Gui-dong   

  1. 第一军医大学南方医院妇产科, 广东, 广州, 510515
  • Online:2004-01-20 Published:2004-01-20

摘要: 目的 探讨早产的病因、围产期处理及早产儿的结局。方法 回顾我院8年的正常分娩病例,对照分析足月产和早产孕妇的年龄、围产因素、分娩方式的差异,比较两组新生儿的出生情况及结局。结果 胎膜早破和体外受精-胚胎移植术后成为早产的最重要原因,妊高征、前置胎盘也是影响早产的因素,而不明原因的早产病例的比例有显著下降趋势,孕产妇的一般情况如年龄、是否经产妇等与足月产相比无差异。早产儿组中剖宫产率增加,Apgar评分≤7分者占67.64%,两组出生情况及分娩方式上有显著性差异。早产儿中缺血缺氧性脑病和吸入性肺炎发病率增高,其死亡率也明显高于足月产儿。结论 积极预防影响胎膜早破的不利因素、控制胚胎移植数目是预防早产的重要措施。加强产前保健,提高对孕产妇状况的综合判断,减少早产的发生,以提高新生儿的生存质量。

Abstract: Objective To study the etiological factors, perinatal management of prematur e delivery and the outcome of the premature infants.Methods The medical record s of normal deliveries over the past 8 years in our hospital were respectively reviewed to analyze the difference between full-term and premature delivery case s in terms of maternal age, perinatal factors and manner of delivery. The state s of birthing and outcomes of premature were reviewed.Results Preterm premature rupture of the membranes and In vitrofertilization-embryo transfer (IVF-ET) w ere the major causes of premature delivery, which was also related to such fact ors as placenta previa and pregnancy-induced hypertension. Premature delivery wi th unknown causes had been decreasing over these years. The maternal age and hi story of previous birth did not vary significantly between the full-term and th e premature groups, but the later had significantly higher rates of cesarean sec tion, in which 67.64% of the cas-es had Apgar scores≤7. The state of the neonat es and manner of delivery were significantly different between the two groups. In the premature infants, the incidences of hypoxic-anoxic encephalopathy, aspir ation pneumonia and neonatal mortality were significantly higher than those in the full-term infants.Conclusions Rigorous measures for preventing preterm prem ature rup-ture of the membranes and controlling transferred embryo numbers are c rucial to prevent premature delivery. Good perinatal care and exact evaluation of the state of the parturient may also help reduce the incidence of premature d elivery and improve the quality of life of the neonates.

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