孕产妇胎膜早破合并生殖道感染对妊娠结局的影响  

Effect of Premature Rupture of Membranes Complicated with Reproductive Tract Infection on Pregnancy Outcome in Pregnant Women

作　　者：刘林[1] 王兰云[1] 曹娟 叶国柳[1] LIU Lin;WANG Lanyun;CAO Juan(Department of Obstetrics,the First Affiliated Hospital of Bengbu Medical College,Bengbu City,Anhui Province 233004)

机构地区：[1]蚌埠医学院第一附属医院产科,安徽省蚌埠市233004

出　　处：《医学理论与实践》2020年第17期2802-2804,共3页The Journal of Medical Theory and Practice

基　　金：安徽省高校自然科学研究项目(KJ2016A482)。

摘　　要：目的:探讨胎膜早破合并生殖道感染对妊娠结局的影响。方法:收集2018年1月—2019年12月本院产科收治的120例确诊为胎膜早破(实验组)和60例非胎膜早破(对照组)孕妇的临床资料,观察两组孕妇生殖道感染情况以及对孕妇分娩方式和妊娠结局的影响。结果:实验组合并生殖道感染的阳性率(65.83%)明显高于对照组(18.33%),差异具有显著统计学意义(P<0.001);实验组合并生殖道感染造成自然分娩的比例明显低于对照组,而剖宫产率和阴道助产率均高于对照组,同时导致母体胎盘早剥、产褥感染、产后出血和绒毛膜羊膜炎等并发症发生率明显高于对照组,差异均具有显著的统计学意义(P<0.05);实验组合并生殖道感染可导致早产、新生儿呼吸窘迫综合征(ARDS)、新生儿窒息以及新生儿感染比例增加,并且除ARDS外增加幅度具有显著统计学意义(P<0.05)。结论:胎膜早破合并生殖道感染可显著影响孕妇分娩方式以及妊娠结局,应采取积极的治疗措施并加强护理观察。Objective:To analyze the effect of premature rupture of placenta complicated with reproductive tract infection on pregnancy outcome.Methods:The clinical data of 120 pregnant women with premature rupture of membranes(experimental group) and 60 women without premature rupture of membranes(control group) were collected from January 2018 to December 2019. The reproductive tract infection of pregnant women in the two groups and their effects on delivery mode and pregnancy outcome were observed.Results:The positive rate of reproductive tract infection in the experimental group(65.83%) was significantly higher than that in the control group(18.33%), and the difference was statistically significant(P<0.001). The proportion of natural delivery caused by reproductive tract infection in the experimental group was significantly lower than that in the control group, while the rates of cesarean section and vaginal delivery in the experimental group were significantly higher than those in the control group.At the same time, the incidence of maternal placental abruption, puerperal infection, postpartum hemorrhage and chorioamnionitis was significantly higher than that in the control group(P<0.05).The experimental group with reproductive tract infection can lead to preterm delivery, neonatal respiratory distress syndrome(ARDS), neonatal asphyxia and the proportion of neonatal infection, and except ARDS the increase is statistically significant(P<0.05).Conclusion:Premature rupture of membranes complicated with reproductive tract infection can significantly affect the mode of delivery and pregnancy outcome of pregnant women. Active treatment measures should be taken and nursing observation should be strengthened.

关 键 词：胎膜早破 生殖道感染 剖宫产 分娩 

分 类 号：R714.433[医药卫生—妇产科学]