胎膜早破的影响因素  

Influential factor of premature rupture of membranes

作　　者：陈瑞霞[1] 武兵[1] 徐蕾[1] 

机构地区：[1]西安市第四医院妇产科,陕西710004

出　　处：《中国生育健康杂志》2002年第3期129-130,共2页Chinese Journal of Reproductive Health

摘　　要：目的 探讨胎膜早破的影响因素及破膜时间与分娩方式及新生儿窒息的变化。方法 对212例胎膜早破患者进行回顾性分析,胎膜未破病例518例为对照组。 结果 胎膜早破组头盆不称,胎位异常和胎儿窘迫较对照组升高,差异有显著性(P<0.05);随破膜时间的延长,剖宫产率、阴道助产率及新生儿窒息率均有显著升高。 结论 胎膜早破是难产的信号之一,影响到新生儿预后,应对胎膜早破患者采取适宜的治疗方案,以尽可能减少母儿并发症。Objective To study the influential factors of premature rapture membranes (PROM) and the association between the period of PROM and the type of delivery and neonatal asphyxia. Methods A retrospetive analysis of 212 cases of PROM was carried out, with 518 cases of not-PROM as contrast. Results The rate of cesarean section in PROM is significantly higher than that of the contrast. There is no statistical difference between the neonatal asphyxia of PROM and that of the contrast. The duration between the rapture of membranes and the delivery is related to the rates of dystocia and neonatal asphyxia. Conclusions The PROM is one of the causes of dystocia. and patients of PROM should be treated with different treatments to decrease the prenatal complications.

关 键 词：胎膜早破 剖宫产 新生儿窒息 难产 

分 类 号：R714.4[医药卫生—妇产科学]