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目的探讨胎膜早破的发病及分娩方式对母儿结局的影响,及早期合理临床处理措施。方法将我院2009年4月～2012年6月就诊的396例有(无)妊娠并发症的产妇作为研究对象,其中胎膜早破者有180例(研究组),未破者为216例(对照组),将两组的分娩方式及最终母儿结局进行对比分析。结果研究组早产率18.2%、剖宫产率8.1%、新生儿的窒息率4.0%;对照组早产率4.5%、剖宫产率2.2%、新生儿的窒息率0.7%,两组数据利用统计学进行对比分析可知,存在着显著性的差异(P<0.05)。结论根据我院396例产妇研究所知,胎膜早破与难产之间有着莫大的关系。因此,必须加强胎膜早破的重视,分析其原因,加强孕前检查及孕期保健,以此降低胎膜早破发生率。同时,还应根据不同孕周的胎膜早破患者增加临床监护,正确处理,最大化减少母儿并发症。
Objective To investigate the incidence of premature rupture of membranes and delivery mode on the impact of maternal and child outcomes, and early rational clinical treatment. Methods A total of 396 pregnant women with (without) complications of pregnancy who were treated in our hospital from April 2009 to June 2012 were selected as the study subjects. Among them, 180 cases of premature rupture of membranes (study group), 216 cases of unruptured (Control group), the two groups of delivery methods and final maternal and child outcomes were compared. Results The preterm birth rate was 18.2% in the study group, 8.1% in the cesarean section and 4.0% in the neonatal asphyxia. The rate of preterm birth was 4.5% in the control group, 2.2% in the cesarean section and 0.7% in the neonatal asphyxia. The data of the two groups were statistically analyzed A comparative study shows that there is a significant difference (P <0.05). Conclusion According to our hospital 396 cases of maternal research know, there is a great relationship between premature rupture of membranes and dystocia. Therefore, it is necessary to strengthen the premature rupture of membranes, analyze the reasons for strengthening the pregnancy test and prenatal care, in order to reduce the incidence of premature rupture of membranes. At the same time, should also be based on gestational age in patients with premature rupture of membranes to increase clinical monitoring, correct treatment, to minimize maternal and child complications.