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目的了解足月胎膜早破分娩方式不同对围生儿的影响。方法选择350例足月单胎头位住院分娩孕妇,胎膜早破者150例为研究组(早破组),无胎膜早破者200例为对照组,分析对比两组胎儿娩出方式的差异及不同分娩方式围生儿结局的差异。结果早破组阴道分娩率低于对照组,差异有统计学意义,剖宫产率高于对照组,差异有统计学意义。新生儿窒息率及吸入性肺炎率两组内剖宫产与自然分娩比较差异均无统计学意义,早破组中缩宫素引产窒息率较自然分娩发生率高,差异有统计学意义。新生儿高胆红素血症发生率两组内缩宫素引产及剖宫产较自然分娩升高,差异有统计学意义。结论足月胎膜早破一旦发生应尽快终止妊娠,破膜>12 h积极给予广谱抗生素预防感染。加强围生儿护理,严密监测,积极喂养,改善预后。
Objective To understand the effect of full-term premature rupture of membranes on perinatal delivery. Methods A total of 150 pregnant women with full-term single-head hospitalization, 150 with premature rupture of membranes (study group) and 200 without premature rupture of membranes (MCE) were selected as the control group. Differences and differences in perinatal outcome among different modes of delivery. Results The rate of vaginal delivery in premature rupture group was lower than that in control group, the difference was statistically significant, the rate of cesarean section was higher than that of control group, the difference was statistically significant. Neonatal asphyxia and aspiration pneumonia rates in the two groups were no significant difference between cesarean section and spontaneous delivery, early rupture of oxytocin aspartate asphyxia rate was higher than the natural birth rate, the difference was statistically significant. The incidence of neonatal hyperbilirubinemia oxytocin induced labor and spontaneous delivery of cesarean section in both groups, the difference was statistically significant. Conclusion Full-term premature rupture of membranes in the event of termination of pregnancy should be as soon as possible, broken membrane> 12 h positive broad-spectrum antibiotics to prevent infection. Strengthen perinatal care, close monitoring, positive feeding, improve prognosis.