中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
17期
132-134,135
,共4页
胎膜早破%难产%新生儿窒息%关系
胎膜早破%難產%新生兒窒息%關繫
태막조파%난산%신생인질식%관계
Premature rupture of membranes%Dystocia%Asphyxia neonatorum%Relationship
目的：探讨胎膜早破的临床处理与母儿预后及处理方法。方法：选取了2013年3-5月本院产科临床分娩孕妇188例，其中未胎膜早破104例设为对照组，胎膜早破孕妇84例设为观察组，入院后对两组孕妇进行常规阴道检查，观察羊水性状，根据不同情况适时引产和感染预防，同时对两组孕妇分娩情况、母婴预后等情况进行观察比较。结果：比较两组孕妇分娩及预后情况，其中观察组孕妇中难产11例，难产率为13.1%，新生儿窒息4例，发生率为4.7%；对照组中难产9例，难产率为8.6%，新生儿窒息2例，发生率为1.9%。母婴预后结果中观察组在新生儿窒息、胎儿窘迫以及产褥感染发生率上均高于对照组，两组比较差异均有统计学意义（P<0.05）。结论：临床上胎膜早破孕妇具有较高的难产风险，且新生儿窒息发生率高，对此需要在临床上加强监护，从而减少母婴损伤。
目的：探討胎膜早破的臨床處理與母兒預後及處理方法。方法：選取瞭2013年3-5月本院產科臨床分娩孕婦188例，其中未胎膜早破104例設為對照組，胎膜早破孕婦84例設為觀察組，入院後對兩組孕婦進行常規陰道檢查，觀察羊水性狀，根據不同情況適時引產和感染預防，同時對兩組孕婦分娩情況、母嬰預後等情況進行觀察比較。結果：比較兩組孕婦分娩及預後情況，其中觀察組孕婦中難產11例，難產率為13.1%，新生兒窒息4例，髮生率為4.7%；對照組中難產9例，難產率為8.6%，新生兒窒息2例，髮生率為1.9%。母嬰預後結果中觀察組在新生兒窒息、胎兒窘迫以及產褥感染髮生率上均高于對照組，兩組比較差異均有統計學意義（P<0.05）。結論：臨床上胎膜早破孕婦具有較高的難產風險，且新生兒窒息髮生率高，對此需要在臨床上加彊鑑護，從而減少母嬰損傷。
목적：탐토태막조파적림상처리여모인예후급처리방법。방법：선취료2013년3-5월본원산과림상분면잉부188례，기중미태막조파104례설위대조조，태막조파잉부84례설위관찰조，입원후대량조잉부진행상규음도검사，관찰양수성상，근거불동정황괄시인산화감염예방，동시대량조잉부분면정황、모영예후등정황진행관찰비교。결과：비교량조잉부분면급예후정황，기중관찰조잉부중난산11례，난산솔위13.1%，신생인질식4례，발생솔위4.7%；대조조중난산9례，난산솔위8.6%，신생인질식2례，발생솔위1.9%。모영예후결과중관찰조재신생인질식、태인군박이급산욕감염발생솔상균고우대조조，량조비교차이균유통계학의의（P<0.05）。결론：림상상태막조파잉부구유교고적난산풍험，차신생인질식발생솔고，대차수요재림상상가강감호，종이감소모영손상。
Objective:To investigate the clinical treatment and prognosis of mother and child for premature rupture of membranes.Method:188 cases of obstetric pregnant women in our hospital from March 2013 to May 2013 were selected and divided into two groups,among them 104 cases without premature rupture of membranes were selected as control group,the other 84 cases with premature rupture of membranes were selected as the observation group.Routine vaginal examination was given to the two groups of pregnant women,the character of amniotic fluid was observed,according to different circumstances induced labor and infection prevention were given to the two groups of pregnant women at a appropriate time,at the same time the condition of delivery,prognosis of maternal and neonatal were observed and compared between the two groups.Result:The conditions of delivery and prognosis between the two groups were compared.The rate of dystocia,asphyxia neonatorum,fetal distress and puerperal infection in the observation group were higher than that of the control group.The differences were statistically significant (P<0.05).Conclusion:The pregnant women with premature rupture of membranes have higher risk of dystocia and neonatal asphyxia,it needs to strengthen monitoring in clinical practice,so as to reduce maternal injury.
