CAJ | 학술논문

目的：探讨胎膜早破的病因及其对分娩方式的影响。方法选取2011年1月～2014年1月在我院治疗的150例足月胎膜早破患者作为研究对象，设为胎膜早破组，随机抽取我院同期正常妊娠的150例孕妇作为对照组。结果150例胎膜早破患者中，有人工流产史者96例（64.0%），感染史98例（65.3%），胎位异常32例（21.3%），多胎妊娠者16例（10.6%），自然分娩64例（42.7%），胎吸助产11例（7.3%），剖宫产75例（50.0%）。150例胎膜早破患者与同期150例正常患者比较，在感染史、流产史、胎位异常等病史的比例和自然分娩、胎吸助产、剖宫产三种分娩方式的选用比例上都有明显差异，具有统计学意义（P＜0.05）。结论流产史、感染史、胎位异常、多胎妊娠等因素是导致胎膜早破的主要病因，而且胎膜早破对分娩方式的选择有较大的影响。
목적：탐토태막조파적병인급기대분면방식적영향。방법선취2011년1월～2014년1월재아원치료적150례족월태막조파환자작위연구대상，설위태막조파조，수궤추취아원동기정상임신적150례잉부작위대조조。결과150례태막조파환자중，유인공유산사자96례（64.0%），감염사98례（65.3%），태위이상32례（21.3%），다태임신자16례（10.6%），자연분면64례（42.7%），태흡조산11례（7.3%），부궁산75례（50.0%）。150례태막조파환자여동기150례정상환자비교，재감염사、유산사、태위이상등병사적비례화자연분면、태흡조산、부궁산삼충분면방식적선용비례상도유명현차이，구유통계학의의（P＜0.05）。결론유산사、감염사、태위이상、다태임신등인소시도치태막조파적주요병인，이차태막조파대분면방식적선택유교대적영향。
Objective To explore the causes of premature rupture of membrane and the effect on delivery mode. Methods 150 hospitalized patients with term premature rupture of membrane in our hospital from January 2011-January 2014 year in January were selected as research objects and they were set as premature rupture of membrane group. 150 pregnant women with normal pregnancy in our hospital during the same period were randomly selected as the control group.ResultsAmong 150 patients with premature rupture of membranes, 96 had induced abortion history (64%), 98 had infection history (65.3%), 32 were with abnormal fetal position (21.3%), 16 were with multiple pregnancy (10.6%), 64 were with natural delivery (42.7%), 11 were with vacuum extraction (7.3%) and 75 were with caesarean section (50%). Rate of disease history including infection history, induced abortion history and abnormal fetal position, etc. and the choices of three delivery modes including natural delivery, vacuum extraction and caesarean section of 150 patients with premature rupture of membranes and 150 patients in the control group had significantly differences. The differences were statistically significant (P<0.05).Conclusion Induced abortion history, infection history, abnormal fetal position and multiple pregnancy, etc. are the main causes of premature rupture of membranes which has a great influence on the choice of the delivery modes.