未足月胎膜早破产妇入院期待时间长短的相关因素及对妊娠结局的影响分析  

The analysis of the expected length of admission in pregnant women with preterm premature rupture of membranes and its influence on pregnancy outcome

作　　者：李道宽 李云 赵春波[1] 孔建平[1] Li Daokuan;Li Yun;Zhao Chunbo;Kong Jianping(Obstetrics and Gynecology Department,Jiande City First People's Hospital,Hangzhou Zhejiang,310000,China)

机构地区：[1]建德市第一人民医院妇产科,浙江杭州310000

出　　处：《中外女性健康研究》2024年第8期26-28,共3页Women＇s Health Research

摘　　要：目的:分析未足月胎膜早破产妇入院期待时间长短的相关因素及对妊娠结局的影响。方法:通过回顾性分析2021年1月至2024年1月本院收治的100例未足月胎膜早破产妇病例资料。根据产妇入院期待时间是否超过3天,将其分为两组,分别为<3d组(n=38)和≥3d组(n=62)。对比两组一般资料、临床特征和妊娠结局,研究影响入院期待时间长短相关因素及对妊娠结局的影响。结果:<3d组的孕周、入院时WBC、入院时CRP、宫颈长度<20mm比例、入院宫颈消退80%比例、羊水过少比例和阴道分泌物培养阳性比例与≥3d组间之间存在明显差异(P<0.05);孕周、入院时WBC、入院时CRP、宫颈长度和羊水过少是影响产妇期待时间长短的独立危险因素(均P<0.05);<3d组剖宫产及新生儿重症监护病房发生率显著高于≥3d组(P<0.05),<3d组临床绒毛膜羊膜炎发生率显著低于≥3d组(P<0.05)。结论:孕周、入院时WBC、入院时CRP、宫颈长度<20mm比例、入院宫颈消退80%比例、羊水过少比例和阴道分泌物培养阳性比例均是影响未足月胎膜产妇入院期待时间的危险因素。延长未足月胎膜早破产妇的入院期待时间对其妊娠结局有一定影响,能改善胎儿结局,但增加孕妇并发症的风险。Objective:To analyze the factors related to the expected time of admission in pregnant women with preterm premature rupture of membranes and the influence on pregnancy outcome.Methods:Data of 100 cases were reviewed from January 2021 to January 2024.According to whether the expected admission time was more than 3 days,they were divided into two groups,namely<3 days(n=38)and 3 days(n=62).Comparing the general data,clinical characteristics and pregnancy outcome of the two groups,the factors affecting the length of hospital expectation and the influence on pregnancy outcome.Results:<3d groups showed significant differences between gestational age,WBC at admission,CRP at admission,cervical length<20mm,80%of admission cervical regression,oligohydramnios and the proportion of positive vaginal secretion culture and≥3d groups(P<0.05);Gestational age,WBC at admission,CRP at admission,cervical length and oligohydramnios were independent risk factors for maternal expectancy(all P<0.05);The incidence of cesarean section and neonatal intensive care unit was significantly higher in<3d than in≥3d group(P<0.05),The incidence of clinical chorioamnionitis was significantly lower in the<3d group than in the≥3d group(P<0.05).Conclusion:Gestational age,WBC at admission,CRP at admission,proportion of cervical length<20mm,80%of admission cervical regression,proportion of oligohydramnios and proportion of positive vaginal secretion culture were all risk factors affecting the expected time of admission in non-term fetal women.Extending the hospital waiting time for women with premature rupture of membranes at full term has a certain impact on their pregnancy outcomes,which can improve fetal outcomes but increase the risk of complications for pregnant women.

关 键 词：未足月胎膜早破 产妇 期待时间 妊娠结局 

分 类 号：R714.2[医药卫生—妇产科学]