摘要
目的探讨胎膜早破的高危因素、分娩方式及对妊娠结局的影响。方法回顾性分析郑州大学第三附属医院2014年2月-2016年8月间收治的606例胎膜早破患者的临床资料,设为观察组。选取同期未发生胎膜早破的200例孕妇为对照组。对比两组间妊娠合并症、分娩方式及妊娠结局。结果①观察组、对照组的生殖道感染、妊娠期高血压疾病、妊娠期糖尿病、宫腔及宫颈手术史、宫腔内压力高比较,组间比较有统计学意义(P <0. 05)。②观察组经阴道分娩率达67. 82%,低于对照组,剖宫产率达32. 18%,则高于对照组,组间比较有统计学意义(P <0. 05)。③观察组、对照组的胎儿宫内窘迫、胎盘早剥、脐带受压或脱垂、早产、新生儿窒息、低出生体重儿、产褥感染比较,组间比较差异有统计学意义(P <0. 05)。结论通过对胎膜早破的及时处理,极大可能的保障母婴安全。
Objective To explore the high risk factors and delivery modes of premature rupture of membranes,and the effects of premature rupture of membranes on the pregnancy outcomes. Method The clinical data of 606 patients with premature rupture of membranes admitted to the third affiliated hospital of Zhengzhou university from February 2014 to August 2016 were retrospectively analyzed. At the same time,200 pregnant women without premature rupture of membranes were selected as the control group.Pregnancy complication of,delivery modes and pregnancy outcomes were compared between the two groups. Result ①There were statistically significant differences in reproductive tract infections,gestational hypertension,gestational diabetes,history of uterus and the cervical surgery,high intrauterine pressure between the two groups( P < 0. 05).② The rate of vaginal delivery in the observation group was 67. 82%,and lower than that in the control group. The cesarean section rate was 32. 18%,and higher than that in the control group. The differences between the two groups was statistically significant( P < 0. 05).③ There were statistically significant differences in fetal distress,placental abruption,and cord compression or prolapse,preterm birth,neonatal asphyxia and low birth weight,puerperal infection between the two groups( P < 0. 05). Conclusion Through the timely treatment of premature rupture of membranes,it is highly possible to ensure the safety of mothers and babies.
作者
赵悦淑
王素贞
崔世红
王蕊
冯晓
ZHAO Yue Shu;WANG Su Zhen;CUI Shi Hong;WANG Rui;FENG Xiao(Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China)
出处
《中国妇幼卫生杂志》
2019年第2期84-87,共4页
Chinese Journal of Women and Children Health
关键词
胎膜早破
临床回顾性分析
高危因素
妊娠结局
premature rupture of membranes
clinical retrospective analysis
high risk factor
pregnancy outcome
