延边医学
延邊醫學
연변의학
YAN BIAN YI XUE
2015年
10期
220-222
,共3页
胎膜早破%危险因素%妊娠结局
胎膜早破%危險因素%妊娠結跼
태막조파%위험인소%임신결국
Premature rupture of membrane%risk factors%pregnancy outcome
目的：探讨引起产妇胎膜早破的危险因素及可能的妊娠结局。方法：选取2012年5月～2014年8月期间于我院分娩的849例胎膜早破产妇，以此设为观察组。选取同期正常分娩的200例产妇设为对照组。回顾性分析两组的临床资料、术前并发症情况、分娩情况等资料。结果：对照组产妇发生营养不良、宫颈内口松弛、多胎妊娠、胎位异常、头盆不称、宫腔手术史和感染的几率均低于观察组；死胎和新生儿死亡的发生率在两组之间无显著差异；对照组新生儿肺炎、新生儿窒息、早产、胎儿窘迫的发生率均低于观察组；对照组的剖宫产率以及产妇体温升高、产褥感染、产后出血的发生率均低于观察组。结论：导致产妇发生胎膜早破的危险因素较多，且很可能引起早产、产后并发症。怀孕期间需加强产妇的健康宣教，定期产检，对产妇生殖道感染等并发症积极预防，避免发生胎膜早破。
目的：探討引起產婦胎膜早破的危險因素及可能的妊娠結跼。方法：選取2012年5月～2014年8月期間于我院分娩的849例胎膜早破產婦，以此設為觀察組。選取同期正常分娩的200例產婦設為對照組。迴顧性分析兩組的臨床資料、術前併髮癥情況、分娩情況等資料。結果：對照組產婦髮生營養不良、宮頸內口鬆弛、多胎妊娠、胎位異常、頭盆不稱、宮腔手術史和感染的幾率均低于觀察組；死胎和新生兒死亡的髮生率在兩組之間無顯著差異；對照組新生兒肺炎、新生兒窒息、早產、胎兒窘迫的髮生率均低于觀察組；對照組的剖宮產率以及產婦體溫升高、產褥感染、產後齣血的髮生率均低于觀察組。結論：導緻產婦髮生胎膜早破的危險因素較多，且很可能引起早產、產後併髮癥。懷孕期間需加彊產婦的健康宣教，定期產檢，對產婦生殖道感染等併髮癥積極預防，避免髮生胎膜早破。
목적：탐토인기산부태막조파적위험인소급가능적임신결국。방법：선취2012년5월～2014년8월기간우아원분면적849례태막조파산부，이차설위관찰조。선취동기정상분면적200례산부설위대조조。회고성분석량조적림상자료、술전병발증정황、분면정황등자료。결과：대조조산부발생영양불량、궁경내구송이、다태임신、태위이상、두분불칭、궁강수술사화감염적궤솔균저우관찰조；사태화신생인사망적발생솔재량조지간무현저차이；대조조신생인폐염、신생인질식、조산、태인군박적발생솔균저우관찰조；대조조적부궁산솔이급산부체온승고、산욕감염、산후출혈적발생솔균저우관찰조。결론：도치산부발생태막조파적위험인소교다，차흔가능인기조산、산후병발증。부잉기간수가강산부적건강선교，정기산검，대산부생식도감염등병발증적겁예방，피면발생태막조파。
Objective:To explore the risk factors causing maternal premature rupture of membranes and pregnancy outcome possi-ble. Methods:Selected 849 cases early broken parturient who deliverd in this hospital in 2012 May to 2014 August as observation group. 200 cases of normal delivery were selected as control group. Analysed the two groups of clinical data, preoperative complications, the condition of delivery information. Results:Control group mothers malnutrition, cervical internal relaxation, multiple pregnancy, abnor-mal fetal position, cephalopelvic disproportion, probability of the uterine cavity operation history and infection were lower than those in the observation group; the stillbirth and neonatal death incidence between the two groups had no significant difference; the control group of neonatal pneumonia, neonatal asphyxia, premature birth, the incidence of fetal distress were lower than those in the observation group;the control group the rate of cesarean section, maternal body temperature rise, puerperal infection, postpartum hemorrhage rate were lower than those in the observation group. Conclusion:The leading cause of maternal have more risk factors of premature rupture of membranes, and is likely to cause premature delivery, postpartum complications. During pregnancy need to strengthen maternal health education, regular check, active prevention of genital tract complications such as infection, avoid the occurrence of premature rupture of membranes.
