首页|保留胎膜囊剖宫产术对胎膜未破早产儿围生期结局的影响

保留胎膜囊剖宫产术对胎膜未破早产儿围生期结局的影响

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目的 分析胎膜未破早产儿采用保留胎膜囊剖宫产术对其围生期结局的影响.方法 选取42例早产需行剖宫产术的患者,根据随机数字表法分为对照组与研究组,各21例.对照组采用常规剖宫产术治疗,研究组采用保留胎膜囊剖宫产术治疗,比较两组临床效果.结果 研究组新生儿窒息发生率低于对照组(P<0.05).研究组产妇手术成功率为100%,略高于对照组的95.24%,但差异无统计学意义(P>0.05).研究组胎儿娩出时间长于对照组(P<0.05).两组产妇羊水量、新生儿出生体重比较,差异无统计学意义(P>0.05).研究组脐血pH、出生后1 min和5 min的Apgar评分均高于对照组(P<0.05).结论 对于胎膜未破早产儿采用保留胎膜囊剖宫产术治疗,有助于预防新生儿窒息,改善围生期结局,值得临床推广.
Effect of cesarean section with preserved membranes on perinatal outcomes of premature infants with unruptured membranes
Objective To analyze the effects of cesarean section with preserved membranes on perinatal outcomes of preterm infants with unruptured membranes.Methods 42 premature patients requiring cesarean section were selected and divided into control group and study group according to random number table method,with 21 cases in each group.The control group was treated by conventional cesarean section,and the study group was treated by cesarean section with preserved membranes.The clinical effect of the two groups was compared.Results The incidence of neonatal asphyxia in the study group was lower than that in the control group(P<0.05).The success rate of operation in the study group was 100%,slightly higher than 95.24%in the control group,but the difference was not statistically significant(P>0.05).The fetal delivery time in the study group was longer than that in the control group(P<0.05).There was no significant difference in amniotic fluid volume and birth weight between the two groups(P>0.05).The pH of cord blood and Apgar score 1 min and 5 min after birth in the study group were higher than those in the control group(P<0.05).Conclusion For premature infants with unbroken membranes,cesarean section with preserved membranes is helpful to prevent neonatal asphyxia and improve perinatal outcomes,which is worthy of clinical promotion.

Unbroken membranePremature infantsCaesarean sectionFetal membrane sacPerinatal period

包芸蕾、张晶宇

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内蒙古兴安盟人民医院 产科,内蒙古 兴安盟 137400

胎膜未破 早产儿 剖宫产术 胎膜囊 围生期

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(17)
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