国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2009年
3期
353-354,368
,共3页
胎膜早破%残余羊水量%分娩结局
胎膜早破%殘餘羊水量%分娩結跼
태막조파%잔여양수량%분면결국
Premature rupture of membranes%Residual water%Delivery outcome of the sheep
目的 探讨胎膜早破残余羊水量过少对分娩结局的影响.方法 选择256例胎膜早破、足月妊娠、头位、无其他产科并发症与合并症者,临产前均行B超监测羊水残余量.其中羊水指数(AFI)≤8.0 cm者86例(羊水过少组),AFI>8.0cm者170例(羊水适量组).观察分析两组患者的胎儿窘迫、新生儿窒息、宫内感染、手术产率.结果 剖宫产率、阴道助产率、胎儿窘迫发生率、新生儿窒息率、宫内感染发病率,两组间差异具有显著性(P＜0.05).结论 胎膜早破残余羊水量与围生儿预后及分娩方式密切相关,羊水残余量过少时,宫内感染率、围生儿发病率及手术产率明显增高.因此,胎膜早破者要及早监测残余羊水量,产程中严密监护,及时发现产程异常、胎儿心率异常及羊水性状气味异常,及时选取正确的分娩方式,以提高产科质量.
目的 探討胎膜早破殘餘羊水量過少對分娩結跼的影響.方法 選擇256例胎膜早破、足月妊娠、頭位、無其他產科併髮癥與閤併癥者,臨產前均行B超鑑測羊水殘餘量.其中羊水指數(AFI)≤8.0 cm者86例(羊水過少組),AFI>8.0cm者170例(羊水適量組).觀察分析兩組患者的胎兒窘迫、新生兒窒息、宮內感染、手術產率.結果 剖宮產率、陰道助產率、胎兒窘迫髮生率、新生兒窒息率、宮內感染髮病率,兩組間差異具有顯著性(P＜0.05).結論 胎膜早破殘餘羊水量與圍生兒預後及分娩方式密切相關,羊水殘餘量過少時,宮內感染率、圍生兒髮病率及手術產率明顯增高.因此,胎膜早破者要及早鑑測殘餘羊水量,產程中嚴密鑑護,及時髮現產程異常、胎兒心率異常及羊水性狀氣味異常,及時選取正確的分娩方式,以提高產科質量.
목적 탐토태막조파잔여양수량과소대분면결국적영향.방법 선택256례태막조파、족월임신、두위、무기타산과병발증여합병증자,임산전균행B초감측양수잔여량.기중양수지수(AFI)≤8.0 cm자86례(양수과소조),AFI>8.0cm자170례(양수괄량조).관찰분석량조환자적태인군박、신생인질식、궁내감염、수술산솔.결과 부궁산솔、음도조산솔、태인군박발생솔、신생인질식솔、궁내감염발병솔,량조간차이구유현저성(P＜0.05).결론 태막조파잔여양수량여위생인예후급분면방식밀절상관,양수잔여량과소시,궁내감염솔、위생인발병솔급수술산솔명현증고.인차,태막조파자요급조감측잔여양수량,산정중엄밀감호,급시발현산정이상、태인심솔이상급양수성상기미이상,급시선취정학적분면방식,이제고산과질량.
Objective Purpose of premature rupture of membranes sheep residual water is too small to affect the outcome of childbirth. Methods 256 eases of premature rupture of membranes, full - term pregnancy,the first place, no other obstetric complications and complications, labor before the B - line monitoring of both the residual amount of amniotic fluid. One of anmiofic fluid index (AFI) ≤8.0 cm to 86 eases ( amniotic fluid was too small groups), AFI > 8. 0 cm to 170 cases ( amount of amniotic fluid) . Observation of the two groups of patients with fetal distress, neonatal asphyxia, intrauterine infection, surgery production rate. Results The results of amniotic fluid was too small group of cesarean section rate (66. 3 percent), vaginal delivery rate (15. 1 percent), the incidence of fetal distress (26. 7% ), neonatal asphyxia rate (14%) intrauterine infection incidence rate (24. 4% ), Differences between the two groups was significant ( P < 0. 05 ) . Conclusion Premature rupture of membranes residual water and sheep perinatal prognosis and mode of delivery is closely related to the residual amount of anmiotic fluid is low too, intrauterine infection, perinatal infant morbidity and surgical yield increased significantly, therefore, premature rupture of membranes have to Monitoring the sheep as soon as possible residual water, labor in intensive care, timely detection of labor abnormal fetal heart rate abnormalities and abnormal smell of amniotic fluid character, the right to select the mode of delivery, to improve the quality of obstetric.
