發(fā)布時(shí)間：2018-03-31 18:52

  本文選題：胎膜早破　切入點(diǎn)：潛伏期　出處：《中國(guó)當(dāng)代兒科雜志》2017年08期

【摘要】：目的探討胎膜早破(PROM)對(duì)孕母感染及早產(chǎn)兒結(jié)局的影響。方法以441例早產(chǎn)兒及其母親(387例)為研究對(duì)象,根據(jù)孕母是否胎膜早破分為對(duì)照組(無PROM,104例),PROM時(shí)間72 h組(90例)及≥72 h組(193例)。比較各組母、嬰的臨床特點(diǎn)及并發(fā)癥差異。結(jié)果破膜時(shí)間≥72 h組孕母的年齡、臍血管炎發(fā)生率以及抗生素應(yīng)用高于對(duì)照組和破膜時(shí)間72 h組(P0.05);中-重度絨毛膜羊膜炎的發(fā)生率高于對(duì)照組(P0.05),但與72 h組的差異無統(tǒng)計(jì)學(xué)意義(P0.05)。破膜時(shí)間≥72 h組早產(chǎn)兒肺炎、顱內(nèi)出血的發(fā)生率高于對(duì)照組和破膜時(shí)間72 h組(P0.01);先天性感染的發(fā)生率、住院天數(shù)高于對(duì)照組(P0.05),但與72 h組的差異無統(tǒng)計(jì)學(xué)意義(P0.05)。多因素回歸分析顯示,破膜時(shí)間≥72 h是早產(chǎn)兒發(fā)生肺炎(P0.05)及顱內(nèi)出血(P0.05)的獨(dú)立危險(xiǎn)因素。結(jié)論破膜時(shí)間≥72 h使孕母胎盤炎癥發(fā)生風(fēng)險(xiǎn)增加,而且與早產(chǎn)兒肺炎、顱內(nèi)出血發(fā)生相關(guān)。
[Abstract]:Objective to investigate the effect of premature rupture of membranes (PROM) on maternal infection and outcome of premature infants. Methods 441 premature infants and 387 mothers were studied. According to whether the pregnant mother had premature rupture of membranes, they were divided into two groups: the control group (90 cases without promazine for 72 h) and the group of 193 cases with 鈮，

本文編號(hào)：1691999