CAJ | 학술논문

目的：探讨初产妇足月胎膜早破的分娩时机、方式对母婴结局的影响及其合理的处理措施。方法：2012年1月-2013年12月收治足月胎膜早破初产妇406例，分为12 h内临产、24 h内临产和24 h后引产组，进行初产妇分娩方式、产妇及新生儿并发症统计学比较。结果：与12 h内临产组相比，24 h内临产组自然分娩率下降，难产及剖宫产率升高但无统计学意义，其胎儿宫内窘迫、新生儿窒息及产后出血亦无统计学意义(P＞0.05)；而引产组自然分娩率明显下降，难产及剖宫产率明显升高，差异有统计学意义，其胎儿宫内窘迫、新生儿窒息与临产组比较有统计学意义(P＜0.05)，但产后出血无统计学意义(P＞0.05)。结论：24 h后行引产的足月胎膜早破初产妇剖宫产率明显增加，且可增加围生儿并发症。
목적：탐토초산부족월태막조파적분면시궤、방식대모영결국적영향급기합리적처리조시。방법：2012년1월-2013년12월수치족월태막조파초산부406례，분위12 h내임산、24 h내임산화24 h후인산조，진행초산부분면방식、산부급신생인병발증통계학비교。결과：여12 h내임산조상비，24 h내임산조자연분면솔하강，난산급부궁산솔승고단무통계학의의，기태인궁내군박、신생인질식급산후출혈역무통계학의의(P＞0.05)；이인산조자연분면솔명현하강，난산급부궁산솔명현승고，차이유통계학의의，기태인궁내군박、신생인질식여임산조비교유통계학의의(P＜0.05)，단산후출혈무통계학의의(P＞0.05)。결론：24 h후행인산적족월태막조파초산부부궁산솔명현증가，차가증가위생인병발증。
Objective:To explore the influence of delivery time and way of primipara term premature rupture of membranes on maternal and child outcome and reasonable treatment measures.Methods:406 primiparas with term premature rupture of membranes were selected from January 2012 to December 2013.They were divided into labor within 12 hours group,labor within 24 hours group and labor induction after 24 hours group.The primipara delivery way,the complications of maternal and neonatal were statistical compared.Results:Compared with labor within 12 hours group,the natural delivery rate of labor induction after 24 hours group was reduced;the dystocia and cesarean section rate were increased,but there were no statistical significance;the fetal distress,neonatal asphyxia and postpartum hemorrhage had no statistical significance(P>0.05).The natural delivery rate of induced labor group was reduced;the dystocia and cesarean section rate were increased;there were statistical significance;the fetal distress and neonatal asphyxia had statistical significance compared with labor group(P<0.05),but postpartum hemorrhage had no statistical significance(P>0.05).Conclusion:The cesarean section rate of primipara term premature rupture of membranes with labor induction after 24 hours has increased significantly,and it increases perinatal complications.