中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
30期
300-301
,共2页
早产%胎膜早破%妊娠结局
早產%胎膜早破%妊娠結跼
조산%태막조파%임신결국
Premature%Premature rupture of membranes%Pregnancy outcomes
目的：探讨早产合并胎膜早破的发生原因和妊娠结局。方法选取2009年11月至2013年2月于我院产科就诊的120例早产合并胎膜早破患者作为观察组；同时选取该时间段内早产无胎膜早破孕妇120例设为对照组。通过结合观察组产妇的具体情况，适时采取促胎肺成熟、引产及剖宫产等措施。对比观察两组孕妇的异常情况，如感染、宫腔内手术史、宫颈口松弛、头盆不称、胎位异常等；分别观察两组的母儿状况，比较两组孕妇的妊娠结局。结果观察组孕妇的异常情况占比明显较对照组高，差异有统计学意义（P＜0.05）；观察组产妇行剖宫产、出现胎儿窘迫、产后出血者，以及新生儿出现早产、肺炎、窒息情况者与对照组相比，差异均有统计学意义（P＜0.05）。结论引发胎膜早破的原因很多，应注意孕妇的定期检查，及时采取措施应对胎膜早破的发生，减少母儿的危险，改善预后。
目的：探討早產閤併胎膜早破的髮生原因和妊娠結跼。方法選取2009年11月至2013年2月于我院產科就診的120例早產閤併胎膜早破患者作為觀察組；同時選取該時間段內早產無胎膜早破孕婦120例設為對照組。通過結閤觀察組產婦的具體情況，適時採取促胎肺成熟、引產及剖宮產等措施。對比觀察兩組孕婦的異常情況，如感染、宮腔內手術史、宮頸口鬆弛、頭盆不稱、胎位異常等；分彆觀察兩組的母兒狀況，比較兩組孕婦的妊娠結跼。結果觀察組孕婦的異常情況佔比明顯較對照組高，差異有統計學意義（P＜0.05）；觀察組產婦行剖宮產、齣現胎兒窘迫、產後齣血者，以及新生兒齣現早產、肺炎、窒息情況者與對照組相比，差異均有統計學意義（P＜0.05）。結論引髮胎膜早破的原因很多，應註意孕婦的定期檢查，及時採取措施應對胎膜早破的髮生，減少母兒的危險，改善預後。
목적：탐토조산합병태막조파적발생원인화임신결국。방법선취2009년11월지2013년2월우아원산과취진적120례조산합병태막조파환자작위관찰조；동시선취해시간단내조산무태막조파잉부120례설위대조조。통과결합관찰조산부적구체정황，괄시채취촉태폐성숙、인산급부궁산등조시。대비관찰량조잉부적이상정황，여감염、궁강내수술사、궁경구송이、두분불칭、태위이상등；분별관찰량조적모인상황，비교량조잉부적임신결국。결과관찰조잉부적이상정황점비명현교대조조고，차이유통계학의의（P＜0.05）；관찰조산부행부궁산、출현태인군박、산후출혈자，이급신생인출현조산、폐염、질식정황자여대조조상비，차이균유통계학의의（P＜0.05）。결론인발태막조파적원인흔다，응주의잉부적정기검사，급시채취조시응대태막조파적발생，감소모인적위험，개선예후。
Objective To investigate the cause of premature rupture of membranes and pregnancy outcomes. Methods November 2009 to February 2013 in our hospital obstetric treatment of 120 cases of premature rupture of membranes patients were as the observation group;also select the time period 120 cases of pregnant women in preterm premature rupture of membranes served as controls. By combining the specific circumstances of the observation group maternal and adopting other measures to promote fetal lung maturity, induction of labor and cesarean section. Comparated study of two groups of pregnant women unusual circumstances, such as infection, intrauterine surgery, cervical dilation, head disproportion, fetal abnormalities; mother-to-child status of the two groups were observed, compared two groups of pregnant women pregnancy outcomes. Results Anomalies accounted for pregnant women in the observation group was significantly higher than the control group, the difference was statistically significant (P<0.05);The observation group maternal cesarean section, fetal distress, postpartum hemorrhage, and neonatal premature birth, pneumonia asphyxia compared with the control group, the differences were statistically significant(P<0.05). Conclusion The cause of premature rupture of membranes, should pay attention to the regular inspection of the pregnant women, to take timely measures to deal with the occurrence of premature rupture of membranes, reduce the risk of mother and child and improve the prognosis.
