| 摘要: |
| ［摘要］ 目的 探讨胎膜早破发生的原因及胎膜早破对分娩方式及分娩结局的影响。方法 随机抽取2007-09～2010-09在该院住院分娩发生胎膜早破的孕产妇300例为早破组，对其发生的原因进行分析；另随机抽取同期入院未发生胎膜早破的孕产妇300例作为对照组，对比分析两组孕产妇的分娩方式和分娩结局。结果 胎膜早破发生的主要原因是生殖道感染，占60.33%，其次是消瘦和多胎妊娠，占26.00%。早破组剖宫产、早产、胎儿窘迫的发生率分别为40.67%、15.67%、19.00%，明显高于对照组（P<0.01）；两组的宫缩乏力、产后出血、新生儿窒息、产后尿潴留发生率比较差异无统计学意义（P>0.05）。结论 做好孕期保健及宣传工作,积极预防及治疗胎膜早破,可降低早产儿的发生率,减少母儿不良结局的发生。 |
| 关键词: 胎膜早破 妊娠 分娩结局 |
| DOI：10.3969/j.issn.1674-3806.2012.11.20 |
| 分类号:R 714 |
| 基金项目: |
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| Influence of premature rupture of membranes on delivery mode and outcome of pregnant women |
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ZHANG Dong-mei, LIN Hong
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Department of Gynecology and Obstetrics,Nanning Women and Children Health Hospital,Guangxi 530011,China
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| Abstract: |
| ［Abstract］ Objective To study the causes of premature rupture of fetal membranes and the influence of premature rupture of membranes on mode of delivery and delivery outcome.Methods Three hunder with pregnant women premature rupture of membranes from July 2007 to September 2010 were randomly selected as early broken group, three hunder with pregnant women without the occurrence of premature rupture were randomly selected as control group. The causes and delivery outcomes were retrospectively analyzed.Results The first causes of Premature rupture were reproductive tract infections,60.33%, followed by weight loss and multiple pregnancy, 26.00%. The preterm birth rate, incidence rate of fetal distress, cesarean section rate of research group was respectively 15.67%,19.00%,40.67%, compared with the control group with significant difference (P<0.01).Between two groups of uterine atony, incidence rate of neonatal asphyxia, the incidence rate of postpartum hemorrhage, postpartum urinary retention rate has no significant difference (P>0.05).Conclusion Good prenatal care and advocacy work, good prevention and treatment of premature rupture of membranes, can reduce the incidence of prematurity, reduce the maternal and fetal adverse outcomes. |
| Key words: Premature rupture of membranes Pregnancy Delivery outcome |
