探讨胎膜早破破水临产时间与宫颈成熟程度的关系  

Exploration on the Relationship between Premature Rupture of Membranes and Labor Time and Cervical Maturity

作　　者：季清宁 JI Qing-ning(Department of Obstetrics,People's Hospital of Lianshui County,Lianshui,Jiangsu Province,223400 China)

机构地区：[1]江苏省涟水县人民医院产科,江苏涟水223400

出　　处：《系统医学》2020年第23期132-134,共3页Systems Medicine

摘　　要：目的研究胎膜早破破水临产时间与宫颈成熟程度的关系。方法以2018年5月—2020年5月82例胎膜早破产妇为对象,将其中立即引产的52例视作观察组(并分为宫颈成熟组、宫颈不成熟组),另外8~12 h后进行引产的30例视作对照组,比较各组结果。结果观察组内宫颈成熟产妇破水临产时间平均为(9.21±1.36)h,不成熟产妇为(13.59±1.47)h,差异有统计学意义(P<0.05),观察组内破水临产时间越长的产妇宫颈成熟度评分越低,两者显示为负相关关系(r=-0.638,P=0.018);宫颈成熟组产程时间(8.23±1.96)h,剖宫产率22.22%,羊水浑浊率14.81%,宫颈不成熟组产程时间(10.61±2.71)h,剖宫产率28.00%,羊水浑浊率36.00%,对照组产程时间(11.62±2.08)h,剖宫产率33.33%,羊水浑浊率36.67%(F/χ^2=16.669、0.869、6.516,P=0.006、0.647、0.038);宫颈成熟组、宫颈不成熟组的产妇、新生儿不良情况发生率为33.33%、40.00%,14.81%、36.00%,对照组分别为50.00%、46.67%,差异有统计学意义(χ^2=6.251、6.682,P<0.05)。结论胎膜早破产妇宫颈成熟程度越低,则破水临产时间越长;通过使用促宫颈成熟药物可使破水到临产时间缩短,有助于减低剖宫产率及母婴不良情况。Objective To study the relationship between premature rupture of membranes and labor time and cervical maturity.Methods From May 2018 to May 2020,82 cases of women with premature fetal membrane bankruptcy were taken as the object,52 cases of which immediately induced labor were regarded as the observation group(divided into cervical mature group and cervical immature group),and 30 cases undergoing labor induction after 8-12 hours were regarded as a control group,and the results of each group were compared.Results In the observation group,the average cervical mature women's time to break water was(9.21±1.36)h,and the immature women's time was(13.59±1.47)h,the difference was statistically significant(P<0.05).The longer the time to break water in the observation group,the longer the women's cervical maturity score.The lower the value,the two showed a negative correlation(r=-0.638,P=0.018);the labor time of the cervical mature group was(8.23±1.96)h,the cesarean section rate was 22.22%,the amniotic fluid turbidity rate was 14.81%,and the cervical immature group labor time(10.61±2.71)h,cesarean section rate 28.00%,amniotic fluid turbidity rate 36.00%,control group labor time(11.62±2.08)h,cesarean section rate 33.33%,amniotic fluid turbidity rate 36.67%(F/χ^2=16.669,0.869,6.516,P=0.006,0.647,0.038);the incidence of maternal and neonatal adverse events in the cervical mature group and the cervical immature group was 33.33%,40.00%,14.81%,36.00%,and the control group was 50.00%,46.67%,the difference was statistically significant(χ^2=6.251,6.682,P<0.05).Conclusion The lower the degree of cervical maturity of women with premature membrane bankruptcy,the longer the time of breaking water to labor;the use of cervical ripening drugs can shorten the time from breaking water to labor and help reduce the rate of cesarean section and the adverse conditions of mother and child.

关 键 词：胎膜早破 破水 临产时间 宫颈成熟 程度 

分 类 号：R714[医药卫生—妇产科学]