胎膜水肿临床意义研究  

Clinical Analysis of Fetal Membranes Edema

作　　者：赵贤哲 嘉志雄[2] 王慧敏[1] 陈素华[3] 

机构地区：[1]广东省妇幼保健院,广东广州510010 [2]广州市第一人民医院 [3]华中科技大学同济医学院附属同济医院

出　　处：《中外医学研究》2016年第15期33-35,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨胎膜水肿与产妇疾病、母儿妊娠结局之间的关系。方法:回顾性分析同济医院围产医学科2012年1月-2014年1月17例发生胎膜水肿的产妇的临床资料,选取同期未发生胎膜水肿的30例产妇为对照组,分析两组产妇并发症发生情况及新生儿状况。结果:两组绒毛膜羊膜炎、胎膜早破、重度子痫前期及慢性盆腔炎发生率比较差异均有统计学意义(P<0.05);两组新生儿1 min Apger评分、5 min Apger评分、体重、身长及新生儿肺炎发生率比较差异均无统计学意义(P>0.05)。结论:胎膜水肿与多种疾病相关,炎症过程的水肿可能造成胎膜受损至胎膜早破,但其本身可能是机体损伤后修复的一部分。胎膜水肿产妇及时行剖宫产,对新生儿出生状况无显著不良影响。Objective： To study the relationship between fetal membranes edema and maternal disease, pregnancy outcome.Method： The clinical data of 17 cases of fetal membranes edema puerperas in perinatology department of Tongji Hospital from January 2012 to January 2014 were retrospectively analyzed.30 normal puerperas without fetal membranes edema were selected as the control group. The occurrence of complications and the neonatal condition of the two groups were analyzed.Result： The differences in the incidence rates of chorioamnionitis, premature rupture of fetal membranes, severe preeclampsia and chronic pelvic inflammatory disease were statistically significant（P〈0.05）.The differences in the Apger scores of 1 and 5 minutes, weight, height and incidence rate of pneumonia of newborn were not statistically signifieant（P〉0.05）.Conclusion ： Fetal membranes edema is related to a variety of diseases.Inflammatory process of edema may cause fetal membrane damage to premature rupture of membranes, but itself is likely to be part of the body damage after repair.Timely cesarean section of fetal membranes edema puerpera has no harmful effects on neonates.

关 键 词：胎膜水肿 胎膜早破 绒毛膜羊膜炎 

分 类 号：R714.56[医药卫生—妇产科学]