摘要
目的探讨未足月胎膜早破产妇和新生儿结局的高危影响因素。方法选取2016年8月至2018年8月河北省秦皇岛市妇幼保健院诊治的98例未足月胎膜早破产妇和足月胎膜早破的产妇作为研究对象(观察组)。再选取98例足月胎膜早破的患者为对照组。对影响两组患者的高危因素以及产妇和胎儿围产结局的相关性进行回顾性分析。结果观察组产妇出现未足月胎膜早破的首要原因是阴道炎(19.39%),其次是产妇有不良孕产史(13.27%)。产妇出现未足月胎膜早破症状的单因素包括臀位、腹压升高、阴道炎、不良孕产史,差异有统计学意义(P<0.05)。产妇出现未足月胎膜早破症状的高危因素有阴道炎、不良孕产史、臀位及妊娠期糖尿病,差异有统计学意义(P<0.05)。观察组新生儿窒息发生率(58.16%)、新生儿肺炎发生率(44.90%)、NRDS发生率(43.88%)以及新生儿病死率(4.08%)显著高于对照组新生儿窒息发生率(8.16%)、新生儿肺炎发生率(2.04%)、NRDS发生率(13.27%)以及新生儿病死率,差异有统计学意义(P<0.05)。观察组和对照组产妇的剖宫产发生率、产后出血发生率、产褥感染发生率均无统计学意义(均P>0.05)。结论影响未足月胎膜早破产妇的因素很多,阴道炎和不良孕产史是高危因素,为降低未足月胎膜早破发生率,妇女应当保护好自己的身体并应注意身体健康问题,为临床治疗提供一定的理论依据。
Objective To investigate the high risk factors of maternal and neonatal out comes inpreterm premature rupture of fetal membrane. Methods 98 cases of preterm premature rupture of fetal membrane and early rupture of fetal membrane were selected from August 2016 to August 2018 as the subjects of study(observation group). 98 patients with term premature rupture of the fetal membranewere selected as the control group. The risk factors and the correlation between maternal and fetal perinatal outcomes were analyzed retrospectively. Results The primary cause of preterm premature rupture of fetal membrane was vaginitis(19.39 %), followed by poor maternal history(13.27 %). The single factors that cause symptoms of premature rupture of the fetal membrane includedbreech position, elevated abdominal pressure, vaginitis, and poor maternal history, with statistically significant differences(P< 0.05). The high-risk factors for preterm premature rupture of the fetal membrane included vaginitis, poor maternal history, breech position, and gestational diabetes, with statistically significant differences(P< 0.05). The incidence of neonatal asphyxia(58.16%), neonatal pneumonia(44.90%), NRDS(43.88%) and neonatal mortality(4.08%) were significantly higher in the observation group than those in the control group, with statistically significant differences(P<0.05). Differenes in the incidences of planer labor, postpartum hemorrhage and puerperal infection were not statistically significant between the two groups(both P>0.05). Conclusions There are many factors that affect preterm premature rupture of the fetal membrane, where vaginitis and the history of poor motherhood are high-risk factors. In order to reduce the incidence of preterm premature rupture of the fetal membrane, more attention should be paid to female physical health problems, which provides some theoretical basis for clinical treatment.
作者
李秋红
LI Qiuhong(Obstetrics Department,Qinhuangdao Maternity and Child Care Hospital,Qinghuangdao 066000,Hebei,China)
出处
《中国性科学》
2019年第9期81-85,共5页
Chinese Journal of Human Sexuality
关键词
胎膜早破
未足月
产妇
高危因素
新生儿
Premature rupture of membranes
Preterm
Maternal
High-risk factors
Neonates
