摘要目的 比较不同就诊时间未足月胎膜早破（Preterm premature of the membranes,PPROM）产妇临床结局及围生儿结局情况,为临床指导提供依据。方法 回顾性分析我院130例PPROM产妇及其新生儿的临床资料,按照就诊时间不同分为就诊时间小于2h者75例（α组）、就诊时间2~12h者44例（β组）、就诊时间大于12h者11例（γ组）,比较三组产妇基线资料、分娩方式、临床结局及围生儿结局。结果 三组基线资料比较均无统计学意义（P>0.05）;在分娩方式方面,三组间阴道顺产率、阴道助产率及剖腹产率比较,差异均无统计学意义（P>0.05）;在产妇临床结局方面,γ组宫内感染发生率明显高于α组（P<0.05）,γ组产褥感染发生率明显高于α、β组（P<0.05）;在围生儿结局方面,α、β组新生儿感染率均明显低于γ组（P<0.05）,α组与β组新生儿感染率比较,差异无统计学意义（P>0.05）;α组NRDS发生率均明显低于β、γ组（P<0.05）,β组与γ组NRDS发生率比较,均差异无统计学意义（P>0.05）;三组新生儿平均出生体重比较,均差异无统计学意义（P>0.05）。结论 PPROM产妇的妊娠结局因其就诊时间的不同而存在差异,2h内就诊者给予规范化治疗可有效改善母婴结局。
Abstract：Objective To compare the clinical outcomes and perinatal outcomes of PPROM puerperae at different visit times,so as to provide evidence for clinical guidance. Methods The clinical data of 130 cases of PPROM puerperae and their newborns in our hospital were analyzed retrospectively.And they were divided into 75 cases with clinic time less than 2h（α group）,44 cases with clinic time of 2 to 12h（β group）,and 11 cases with clinic time more than 12h（γ group）according to the clinic time.The baseline data,delivery modes,clinical outcomes and perinatal outcomes were compared among the three groups. Results There were no statistically significant differences in the baseline data among the three groups（P>0.05）.In terms of delivery modes,there was no significant difference in vaginal shun yield,vaginal midwifery rate and caesarean section rate among the three groups（P>0.05）.In the maternal clinical outcomes,the incidence rate of intrauterine infection in γ group was significantly higher than that in α group（P<0.05）,and the incidence rate of puerperal infection in γ group was significantly higher than that in α and β groups（P<0.05）.In perinatal outcomes,the neonatal infection rate in α and β groups was significantly lower than that in γ group（P<0.05）,and there was no significant difference in the neonatal infection rate between α group and β group（P>0.05）.NRDS incidence rate in α group were significantly lower than those in β and γ groups（P<0.05）,and there was no significant difference in NRDS incidence rate between β group and γ group（P>0.05）.There was no significant difference in the average birth weight among the three groups（P>0.05）. Conclusion PPROM puerperae have different pregnancy outcomes owing to different clinic time,and standardized treatment for patients within 2h of clinic time can effectively improve maternal-infant outcomes.
宋蕊莉. 不同就诊时间PPROM产妇临床结局及围生儿结局比较[J]. 哈尔滨医药, 2022, 42(1): 18-19.
Song Ruili. Comparison of Clinical Outcomes and Perinatal Outcomes of PPROM Puerperae At Different Visit Times. journal1, 2022, 42(1): 18-19.
2022, Vol. 42 
