中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
17期
41-42
,共2页
胎膜早破%高危因素%妊娠结局
胎膜早破%高危因素%妊娠結跼
태막조파%고위인소%임신결국
Premature rupture of membrane%High risk factors%Pregnancy outcome
目的：探讨胎膜早破的高危因素、分娩方式及对妊娠结局的影响。方法查阅并收集该院2012年1月-2014年1月间收治的112例发生胎膜早破的孕产妇病历资料。结果该院胎膜早破发生率为11.34%，足月胎膜早破发生率为8.4%，未足月胎膜早破发生率为2.94%；主要的高位因素有生殖道感染、妊娠期高血压综合征、宫腔操作史及宫腔压力增高等，其中生殖道感染是首要的高危因素，占35.71%；未足月胎膜早破剖宫产率、胎儿窘迫及新生儿窒息发生率高于足月胎膜早破(P<0.05)，同时胎膜早破可造成母体胎盘早剥、产后出血及绒毛膜羊膜炎。结论胎膜早破可对生产方式及母婴造成不良影响，应重视高危因素，加强孕期保健、临床监护及处理，减少并发症。
目的：探討胎膜早破的高危因素、分娩方式及對妊娠結跼的影響。方法查閱併收集該院2012年1月-2014年1月間收治的112例髮生胎膜早破的孕產婦病歷資料。結果該院胎膜早破髮生率為11.34%，足月胎膜早破髮生率為8.4%，未足月胎膜早破髮生率為2.94%；主要的高位因素有生殖道感染、妊娠期高血壓綜閤徵、宮腔操作史及宮腔壓力增高等，其中生殖道感染是首要的高危因素，佔35.71%；未足月胎膜早破剖宮產率、胎兒窘迫及新生兒窒息髮生率高于足月胎膜早破(P<0.05)，同時胎膜早破可造成母體胎盤早剝、產後齣血及絨毛膜羊膜炎。結論胎膜早破可對生產方式及母嬰造成不良影響，應重視高危因素，加彊孕期保健、臨床鑑護及處理，減少併髮癥。
목적：탐토태막조파적고위인소、분면방식급대임신결국적영향。방법사열병수집해원2012년1월-2014년1월간수치적112례발생태막조파적잉산부병력자료。결과해원태막조파발생솔위11.34%，족월태막조파발생솔위8.4%，미족월태막조파발생솔위2.94%；주요적고위인소유생식도감염、임신기고혈압종합정、궁강조작사급궁강압력증고등，기중생식도감염시수요적고위인소，점35.71%；미족월태막조파부궁산솔、태인군박급신생인질식발생솔고우족월태막조파(P<0.05)，동시태막조파가조성모체태반조박、산후출혈급융모막양막염。결론태막조파가대생산방식급모영조성불량영향，응중시고위인소，가강잉기보건、림상감호급처리，감소병발증。
Objective To investigate the high risk factors and delivery mode of premature rupture of membranes and its influence on pregnancy outcome. Methods The clinic data of 112 pregnant women with premature rupture of membrane were reviewed and collected, which were recorded from 2012 to 2014 in Kaiyuan Women and Child Hospital. Results The incidence of premature rupture of membranes was 11.34% in our hospital. The incidence of term premature rupture of membrane and the incidence of preterm premature rupture of membrane was 8.4% and 2.94%. The main risk factors of premature rupture of membranes were re-productive tract infections, gestational hypertension disease, intrauterine operation history and intrauterine pressure increases, etc. The high risk factor of the first was reproductive tract infections, it was 35.71%. Preterm premature rupture of membrane cesarean section rate, fetal distress and neonatal asphyxia incidence was higher than term premature rupture of membrane (P<0.05). And al-so, the premature rupture of membranes could be caused maternal placental abruption, postpartum hemorrhage and chorioamnioni-tis. Conclusion The premature rupture of membranes can cause adverse effects on the production mode and the maternal, so we should pay more attention on the high risk factor and strengthen antenatal care, clinical monitoring and treatment, and reduce complications.
