胎膜早破对孕产妇分娩结局的影响分析  

Influence of premature rupture of membranes on delivery mode and outcome of pregnant women

作　　者：张东梅[1] 林红[1] 

机构地区：[1]南宁市妇幼保健院妇产科,广西530011

出　　处：《中国临床新医学》2012年第11期1057-1060,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨胎膜早破发生的原因及胎膜早破对分娩方式及分娩结局的影响。方法随机抽取2007-09～2010-09在该院住院分娩发生胎膜早破的孕产妇300例为早破组,对其发生的原因进行分析;另随机抽取同期入院未发生胎膜早破的孕产妇300例作为对照组,对比分析两组孕产妇的分娩方式和分娩结局。结果胎膜早破发生的主要原因是生殖道感染,占60.33%,其次是消瘦和多胎妊娠,占26.00%。早破组剖宫产、早产、胎儿窘迫的发生率分别为40.67%、15.67%、19.00%,明显高于对照组(P<0.01);两组的宫缩乏力、产后出血、新生儿窒息、产后尿潴留发生率比较差异无统计学意义(P>0.05)。结论做好孕期保健及宣传工作,积极预防及治疗胎膜早破,可降低早产儿的发生率,减少母儿不良结局的发生。Objective To study the causes of premature rupture of fetal membranes and the influence of premature rupture of membranes on mode of delivery and delivery outcome. Methods Three hunder with pregnant women premature rupture of membranes from July 2007 to September 2010 were randomly selected as early broken group, three hunder with pregnant women without the occurrence of premature rupture were randomly selected as con- trol group. The causes and delivery outcomes were retrospectively analyzed. Results The flint causes of Premature rupture were reproductive tract infections,60. 33% , followed by weight loss and multiple pregnancy, 26. 00%. The preterm birth rate, incidence rate of fetal distress, cesarean section rate of research group was respectively 15.67%, 19.00% ,40.67%, compared with the control group with significant difference （P 〈0. 01 ）. Between two groups of uterine atony, incidence rate of neonatal asphyxia, the incidence rate of postpartum hemorrhage, postpartum urinary retention rate has no significant difference （P 〉 0. 05）. Conclusion Good prenatal care and advocacy work, good prevention and treatment of premature rupture of membranes, can reduce the incidence of prematurity, reduce the ma- ternal and fetal adverse outcomes.

关 键 词：胎膜早破 妊娠 分娩结局 

分 类 号：R714[医药卫生—妇产科学]