孕足月胎膜未破与胎膜早破残留羊水过少对围生期结局的影响  

Effect of Preterm Rupture of Membranes and Residual Oligohydramnios on Perinatal Outcome

作　　者：仲艳敏 孙翔 郭丽仪 ZHONG Yanmin;SUN Xiang;GUO Liyi(Guangzhou Women and Children's Medical Center,Guangzhou 510623,China)

机构地区：[1]广州市妇女儿童医疗中心,广东广州510623

出　　处：《中国医药指南》2021年第22期89-90,共2页Guide of China Medicine

摘　　要：目的探究孕足月胎膜未破与胎膜早破残留羊水过少对围生期结局的影响。方法回顾性分析我院2017年7月至2019年6月收治的185例产妇,其中62例确诊为胎膜早破残留羊水过少,纳入A组,62例确诊为胎膜未破残留羊水过少,纳入B组,61例羊水正常产妇,纳入C组,对比产妇分娩结局和新生儿结局。结果3组产妇分娩结局比较,A组和B组产妇剖宫产、产褥病以及羊水污染的发生概率均显著高于C组,差异有统计学意义(P<0.05)。3组新生儿结局比较,A组和B组新生儿出现胎儿窘迫概率均显著高于C组,具统计学意义(P<0.05),新生儿窒息、新生儿畸形概率比较,3组差异无统计学意义(P>0.05)。结论孕足月胎膜未破与胎膜早破残留羊水过少,可对产妇分娩结局造成不利影响,使产妇剖宫产率、产褥病率、羊水污染率升高,并且容易出现胎儿窘迫、新生儿窒息等不良分娩结局,应该引起足够重视,需尽早诊断积极处理,以减少不良围生儿结局。Objective To investigate the effect of residual oligohydramnios on perinatal outcome of unbroken membranes and premature rupture of membranes during pregnancy.Methods A total of 185 cases of parturients admitted to our hospital from July 2017 to June 2019 were selected as the research objects and analyzed retrospectively.Among them,62 cases diagnosed as premature rupture of membranes with residual oligohydramnios were included in group A,62 cases diagnosed as unbroken membranes with residual oligohydramnios were included in group B,and 61 cases with normal amniotic fluid were included in group C to compare the maternal outcomes in childbirth and neonatal outcomes.Results Comparison of childbirth outcomes among the three groups showed that the occurrence probability of cesarean section,puerperal disease and amniotic fluid pollution in group A and B were all higher than that in group C,and the data were significantly different from that in group C,with statistical significance(P<0.05).Comparison of neonatal outcomes among the three groups showed that the probability of fetal distress in group A and group B was higher than that in group C,and the data were significantly different from that in group C,with statistical significance(P<0.05).The probability of neonatal asphyxia and neonatal malformation was not significantly different among the three groups,with no statistical significance(P>0.05).Conclusion Not rupture of membranes at term premature rupture of membranes and oligohydramnios,adverse effects on the maternal birth outcomes,the maternal cesarean delivery rate,puerperal disease rate,amniotic fluid contamination rate increases,and prone to fetal distress and neonatal asphyxia and other adverse birth outcomes,should cause enough attention,to diagnostic positive,as soon as possible,in order to reduce adverse perinatal outcomes.

关 键 词：胎膜未破 胎膜早破 羊水过少 分娩结局 新生儿结局 

分 类 号：R714.4[医药卫生—妇产科学]