孕妇胎膜早破的影响因素  

Influencing Factors for Premature Rupture of Membranes in Pregnant Women

作　　者：赵海霞 崔红霞 孟丹丹 李晴 李茜 许趁想 岳菊花 ZHAO Haixia;CUI Hongxia;MENG Dandan;LI Qing;LI Xi;XU Chenxiang;YUE Juhua(Delivery Room,the Third Affiliated Hospital of Zhengzhou University(Henan Maternal and Child Health Hospital),Zhengzhou 450000,China)

机构地区：[1]郑州大学第三附属医院(河南省妇幼保健院)产房,河南郑州450000

出　　处：《河南医学研究》2025年第8期1423-1426,共4页Henan Medical Research

摘　　要：目的 探析孕妇胎膜早破(PROM)发生的影响因素,为PROM的预防和临床处理提供指导。方法 采用1∶1配对病例对照研究方法。收集2020年12月至2022年12月于郑州大学第三附属医院住院分娩的孕妇资料,将其中126例PROM孕妇作为PROM组,同时采用便利抽样法选取126例正常孕妇作为对照组。比较两组相关临床资料,采用logistic回归法分析影响孕妇PROM发生的危险因素。结果 与对照组相比,PROM组受教育程度为初中及以下、有被动吸烟史、有生殖道感染者占比更高,宫颈长度更短,参加体育锻炼者占比及血清维生素C(Vit C)、维生素E(Vit E)水平更低(P<0.05)。logistic回归显示,有被动吸烟史、宫颈长度较短是孕妇PROM发生的危险因素,高中或中专、大专以及以上受教育程度以及维持较高的血清Vit C、Vit E水平是其保护因素(P<0.05)。结论 受教育程度、被动吸烟史、宫颈长度及血清Vit C、Vit E水平是孕妇PROM发生的影响因子。Objective To investigate the risk factors for premature rupture of membranes(PROM)in pregnant women so as to provide guidance for the prevention and clinical management of PROM.Methods A 1∶1 matched case-control study was conducted.The data of pregnant women who were hospitalized and gave birth at the Third Affiliated Hospital of Zhengzhou University from December 2020 to December 2022 were collected.Among the pregnant women enrolled,126 pregnant women with PROM were selected as the PROM group.At the same time,126 normal pregnant women were selected as the control group by convenience sampling method.Relevant clinical data of the two groups were compared,and logistic regression analysis was performed to identify the risk factors for PROM in pregnant women.Results Compared with the control group,the proportions of women with education level of junior high school or below,women with passive smoking history and history of reproductive tract infections were higher,the cervix uteri was shorter,the proportion of women participating in physical exercise and serum vitamin C(Vit C)and vitamin E(Vit E)levels were lower in the PROM group(P<0.05).Logistic regression analysis found that passive smoking history and short cervix uteri were risk factors for PROM in pregnant women,while education level of high school or technical secondary school,junior college and above,high serum Vit C and Vit E levels were protective factors(P<0.05).Conclusion Education level,passive smoking history,cervical length,and serum Vit C and Vit E levels are influencing factors for the occurrence of PROM in pregnant women.

关 键 词：胎膜早破 感染 妊娠结局 危险因素 

分 类 号：R714.43[医药卫生—妇产科学]