足月胎膜早破对分娩方式及母婴结局的影响  

Effect of premature rupture of fetal membranes in full term on delivery mode and maternal and child outcomes

作　　者：周招莲 熊员焕[3] ZHOU Zhao-lian;XIONG Yuan-huan(Department of Medicine,Graduate School of Nanchang University,Jiangxi Province,Nanchang 330006,China;Department of Obstetrics and Gynecology,Jishui County People's Hospital,Jiangxi Province,Jishui 331600,China;Department of Obstetrics and Gynecology,Jiangxi Provincial People's Hospital,Nanchang 330006,China)

机构地区：[1]南昌大学研究生院医学部,江西南昌330006 [2]江西省吉水县人民医院妇产科,江西吉水331600 [3]江西省人民医院妇产科,江西南昌330006

出　　处：《中国当代医药》2020年第1期128-130,134,共4页China Modern Medicine

摘　　要：目的探讨足月胎膜早破对分娩方式及母婴结局的影响,为围生期保健及并发症防治提供依据。方法选取2016年1月~2019年1月在江西省人民医院妇产科住院分娩的370例足月胎膜早破孕妇作为观察组,选取同期无胎膜早破的足月孕妇370例作为对照组。比较两组分娩方式及绒毛膜炎、产褥病、新生儿窒息的发生率。结果观察组剖宫产率(47.6%)高于对照组(28.6%),差异有统计学意义(P<0.05)。观察组绒毛膜炎、产褥病、新生儿窒息发生率(28.1%、9.5%、8.9%)高于对照组(7.0%、1.6%、3.0%),差异均有统计学意义(P<0.05)。结论与未发生足月胎膜早破的孕妇比较,足月胎膜早破孕妇的剖宫产率升高,母婴并发症发生率也增加,提示围生期保健应从防治阴道炎、减少药物滥用、均衡营养、减少妊娠晚期性生活等方面加强管理,同时对于足月胎膜早破孕妇应及时终止妊娠并加强预防感染治疗以减少母婴并发症。Objective To investigate the effect of premature rupture of membranes in full term on delivery mode and maternal and child outcomes,so as to provide basis for perinatal health care and prevention of complications.Methods A total of 370 pregnant women with premature rupture of membranes in full term in the Department of Obstetrics and Gynecology,Jiangxi Provincial People's Hospital from January 2016 to January 2019 were enrolled as the observation group.The other 370 pregnant women without premature rupture of membranes were randomly selected during the same period as the control group.The delivery methods,chorionitis,puerperal disease rate and neonatal asphyxia incidence were compared between the two groups.Results The cesarean section rate in the observation group(47.6%)was higher than that in the control group(28.6%),and the difference was statistically significant(P<0.05).The incidence rates of chorionitis,puerperal diseases and neonatal asphyxia in the observation group(28.1%,9.5%,8.9%)were higher than those in the control group(7.0%,1.6%,3.0%),and the differences were statistically significant(P<0.05).Conclusion Compared with the pregnant women without preterm premature rupture of membranes in full term,the cesarean section rate of the pregnant women with preterm premature rupture of membranes in full term is increased,and the incidence of maternal and infant complications is also increased.It is suggested that perinatal health care should strengthen management in terms of prevention and treatment of vaginitis,reduction of drug abuse,balanced nutrition,and reduction of sexual life in the third trimester of pregnancy.At the same time,pregnant women with preterm premature rupture of membranes in full term should terminate pregnancy in time and strengthen prevention and treatment of infection to reduce maternal and infant complications.

关 键 词：足月胎膜早破 分娩方式 绒毛膜炎 产褥病率 新生儿窒息 

分 类 号：R714.4[医药卫生—妇产科学]