足月妊娠胎膜早破影响因素及其与围产儿预后的关系研究  

Influenced factors of premature rupture of membranes and its relationship with prognosis of perinatal infants

作　　者：邹艳芬[1] 胡小玲[1] 熊兰姣 肖枝兰 刘利平[1] ZOU Yan fen HU Xiaoling XIONG Lanjiao XIAO Zhilan L IU Liping(Department of Obstetrics and Gynecology, Hanchuan Peoplers Hospital, Hanchuan, Hubei 431600, China)

机构地区：[1]湖北省汉川市人民医院妇产科,431600

出　　处：《检验医学与临床》2017年第15期2254-2256,共3页Laboratory Medicine and Clinic

摘　　要：目的探讨足月妊娠胎膜早破影响因素及其对围产儿预后的影响。方法收集2012年10月至2016年10月在该院分娩的120例足月胎膜早破产妇(胎膜早破组)及120例足月正常妊娠产妇(健康对照组)临床资料,比较两组产妇围产儿妊娠结局,并分析影响足月胎膜早破的相关因素。结果胎膜早破组羊水过少、绒毛膜羊膜感染、胎儿窘迫、新生儿窒息、新生儿肺炎、剖宫产所占比例显著高于健康对照组,差异有统计学意义(P<0.05)。经单因素分析可知,胎膜早破组生殖道感染、人工流产在2次以上、胎位异常、妊娠期糖尿病、腹压增加、胎盘前置、羊水过多、子宫畸形的比例高于健康对照组(P<0.05)。经多因素Logistic分析可知,生殖道感染、人工流产在2次以上、胎位异常、腹压增加是引起足月胎膜早破的独立危险因素(OR=6.152、5.856、4.785、4.523,P<0.05)。结论生殖道感染、人工流产在2次以上、胎位异常、腹压增加是引起足月胎膜早破的危险因素,而足月胎膜早破可引增加围产儿不良妊娠结局,值得关注。Objective To explore influenced factors of premature rupture of membranes of term pregnancy and its relationship perinatal infants. Methods A total of 120 cases of full-term premature rupture of membranes（PROM group） and 120 cases of full- term pregnancy（control group） in our hospital were collected from October 2012 to October 2016. The outcomes of two groups of perinatal infants were analyzed. The influenced factors of premature rupture of membranes were analyzed. Results The rates of oli- gohydramnios,chorioamnion infection, fetal distress, neonatal asphyxia, neonatal pneumonia and cesarean section were significantly higher than those in the control group（P〈0.05）. The univariate analysis showed that the rates of reproductive tract infection, abor- tion higher than two times, abnormal fetal position, gestational diabetes mellitus, increased abdominal pressure, placenta previa, polyhydramnios and uterus malformations were significantly higher than that of control group（P〈0.05）. The reproductive tract in- fections,abortion higher than two times, abnormal fetal position, increased abdominal pressure were independent risk factors for premature rupture of membranes（OR=6. 152,5. 856,4. 785,4. 523,P〈0.05）. Conclusion Reproductive tract infections,induced abortion higher than two times,abnormal fetal position,increased abdominal pressure are the risk factors for premature rupture of membranes,and full-term premature rupture of membranes could increase perinatal adverse pregnancy outcome. It is noteworthy.

关 键 词：足月妊娠 胎膜早破 诱发因素 围产儿 

分 类 号：R714.246[医药卫生—妇产科学]