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目的探讨胎膜早破与头位难产的相关因素,以指导临床工作。方法从2009年1～12月住院分娩的胎膜早破孕妇539例中择取足月、初产、头位分娩的180例,同时随机抽样条件相同、无胎膜早破者180例,对两者从头盆评分、临产后的胎头衔接、骨盆狭窄率、胎头方位、分娩方式等几个方面进行比较分析。结果胎膜早破组临产后的头盆不称率、骨盆狭窄率、头位异常率和难产率均高于对照组,存在明显差异。结论胎膜早破常预示难产的发生,应及早进行恰当处理,以减少对母儿的危害。
Objective To explore the related factors of premature rupture of membranes and head dystocia to guide the clinical work. Methods From January 2009 to January 2009 delivery of premature rupture of membranes in 539 pregnant women choose full-term, primiparous, head delivery of 180 cases, at the same time random sampling of the same conditions, no premature rupture of membranes in 180 cases of Both scoring from the first basin, after childbirth fetal head convergence, pelvic stenosis rate, fetal head orientation, mode of delivery and so on several aspects of comparative analysis. Results Premature rupture of membranes in patients with premature rupture of the cephalopelvic disproportion, pelvis stenosis, head anomalies and dystocia rates were higher than the control group, there were significant differences. Conclusion Premature rupture of membranes often indicates the occurrence of dystocia should be properly handled as soon as possible to reduce the harm to the mother and child.