CAJ | 학술논문

目的：探讨未足月胎膜早破（ PPROM）后残余羊水指数（ AFI）对妊娠结局及新生儿的影响。方法回顾性分析561例妊娠PPROM患者的临床资料，根据AFI值将其分为I组196例（ AFI≤40 mm）和II组365例（ AFI＞40 mm）。比较两组妊娠结局及新生儿预后。结果 I组破膜至分娩时间短于II组（ P ＜0．01）；新生儿出生体质量、Apgar评分均低于II组（ P ＜0．01）；新生儿病死率高于II组（ P ＜0．05）。 Logistic回归分析结果表明，AFI≤40 mm及破膜时孕周为新生儿死亡的影响因素（ P ＜0．05）；AFI≤40 mm为新生儿窒息的影响因素（ P ＜0．05）。结论 PPROM后AFI与多项母婴不良结局相关，可将AFI≤40 mm作为终止妊娠的指标，以减少不良妊娠发生。
목적：탐토미족월태막조파（ PPROM）후잔여양수지수（ AFI）대임신결국급신생인적영향。방법회고성분석561례임신PPROM환자적림상자료，근거AFI치장기분위I조196례（ AFI≤40 mm）화II조365례（ AFI＞40 mm）。비교량조임신결국급신생인예후。결과 I조파막지분면시간단우II조（ P ＜0．01）；신생인출생체질량、Apgar평분균저우II조（ P ＜0．01）；신생인병사솔고우II조（ P ＜0．05）。 Logistic회귀분석결과표명，AFI≤40 mm급파막시잉주위신생인사망적영향인소（ P ＜0．05）；AFI≤40 mm위신생인질식적영향인소（ P ＜0．05）。결론 PPROM후AFI여다항모영불량결국상관，가장AFI≤40 mm작위종지임신적지표，이감소불량임신발생。
Objective To investigate residual amniotic fluid index on pregnancy outcome and neonatal outcomes after preterm premature rupture of membrane ( PPROM) .Methods Five hundred and sixty-one cases of PPROM pregnancy were retrospectively ana-lyzed and were divided into two groups according to AFI ,group I had 196 cases(AFI≤40 mm)and group II had 365 cases(AFI>40 mm).Pregnancy outcomes and prognosis of new borns were compared .Results In Group I,the time between rupture and delivery was significantly shorter than that of group II ( P <0.01).Newborns neonatal mortality in group I was higher than that of group II ( P <0.05).Logistic regression analysis showed that AFI≤40 mm and pregnancy weeks at rupture were the factors affecting neonatal mortali -ty ( P <0.05) and AFI≤40 mm was the factor affecting neonatal asphyxia ( P <0.05).Conclusion AFI after PPROM is correlated with several motherhood and maternal adverse outcomes .AFI≤40 mm may be considered an index to terminate pregnancy in order to reduce adverse pregnancy .