羊水指数、分娩时机及产妇年龄对未足月胎膜早破产妇妊娠结局的影响  

Influence of Amniotic Fluid Index,Timing of Delivery and Maternal Age on the Pregnancy Outcomes for Preterm Premature Rupture of Membranes Women

作　　者：王玲[1] 刘前进[2] Wang Ling;Liu Qianjin(Department of Gynaecology and Obstetrics,Yongcheng People's Hospital,Yongcheng 476600;Department of Ultrasound,Yongcheng People's Hospital,Yongcheng 476600)

机构地区：[1]永城市人民医院妇产科,永城476600 [2]永城市人民医院超声科,永城476600

出　　处：《数理医药学杂志》2022年第4期500-502,共3页Journal of Mathematical Medicine

摘　　要：目的:分析未足月胎膜早破产妇的年龄、分娩时机、羊水指数对妊娠结局的影响。方法:回顾分析2018年6月~2020年6月期间某院收治的90例未足月胎膜早破产妇,分析其临床资料,观察产妇年龄、分娩时机、羊水指数与妊娠结局的关系。结果:20~30岁组产妇与30~40岁组产妇的妊娠结局比较差异并无统计学意义(P>0.05);分娩时机≥48h组羊膜腔感染、子宫内膜炎、产后出血等产妇不良结局发生率均高于分娩时机<48h组,差异有统计学意义(P<0.05),但新生儿结局中,两组仅在胎儿窘迫发生率方面有显著差异(P<0.05);羊水指数正常组的羊膜腔感染率(4%)与偏少组(15.15%)、极少组(31.25%)差异有统计学意义(P<0.05),正常组子宫内膜炎发生率(4%)与极少组(12.5%)比较差异有统计学意义(P<0.05),且极少组新生儿结局中的低体重儿和新生儿肺炎发生率均高于正常组和偏少组,胎儿窘迫发生率高于正常组,差异均有统计学意义(P<0.05)。结论:分娩时机越长,羊水指数越少,不良妊娠结局发生率越高,因此,对未足月胎膜早破产妇,应进行合理干预,以降低妊娠风险,确保母婴安全。Objective:To analyze the influence of maternal age,timing of delivery and amniotic fluid index(AFI)on the pregnancy outcomes for preterm premature rupture of membranes women.Methods:90 preterm premature rupture of membranes women treated in a hospital from June 2018 to June 2020 were retrospectively analyzed.The correlation of maternal age,timing of delivery and AFI with pregnancy outcomes was observed.Results:There was no significant difference in pregnancy outcomes between women aged 20~30 and women aged 30~40 showed no statistically significant difference(P>0.05).The incidence of poor pregnancy outcomes such as intra-amniotic infection,endometritis and postpartum hemorrhage in timing of delivery≥48h group was higher than that in timing of delivery<48h group,and the difference was statistically significant(P<0.05).There was statistically significant difference in the incidence of fetal distress between the two groups(P<0.05).There was statistically significant difference in intra-amniotic infection rate among normal AFI group(4%),low AFI group(15.15%),and quite low AFI group(31.25%)(P<0.05).There was statistically significant difference in the incidence of endometritis between the normal AFI group(4%)and quite low AFI group(12.5%)(P<0.05).The incidence of low birth weight and neonatal pneumonia in quite low AFI group was higher than that in normal AFI group and low AFI group,the incidence of fetal distress was higher than that in normal AFI group,and the differences were all statistically significant(P<0.05).Conclusion:The longer the timing of delivery and the less the amniotic fluid index,the higher the incidence of adverse pregnancy outcomes.Therefore,reasonable intervention should be conducted for women with preterm premature rupture of membranes to reduce the risk of pregnancy and ensure the maternal and infant safety.

关 键 词：未足月胎膜早破 分娩时机 妊娠结局 影响因素 

分 类 号：R714.45[医药卫生—妇产科学]