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目的探讨足月胎膜早破实施临床路径后对分娩方式及母婴结局的影响,为临床围产期保健和并发症防治提供参考。方法将2011年6月至2013年3月住院分娩的足月妊娠胎膜早破108例进入临床路径的病例做为实验组,将2011年6月1日前未施行临床路径的足月妊娠胎膜早破108病例做为对照组,进行回顾性比较分析。结果足月胎膜早破施行临床路径的病例较未试行临床路径的病例剖宫产率降低、产褥病发生率降低(P均<0.01),胎儿窘迫及新生儿窒息率并未增加(P均>0.05)。结论足月胎膜早破实施临床路径可减少母儿并发症,改善妊娠结局。足月胎膜早破临床路径的实施可规范基层医院诊疗行为,提高医疗质量,保障医疗安全,提高教学效果,同时可降低医疗费用使患者收益。
Objective To investigate the effect of full-term premature rupture of membranes on the mode of delivery and maternal and infant outcome after clinical pathway implementation, and provide reference for the prevention and control of perinatal health care and complications. Methods A total of 108 cases of full-term premature rupture of membranes in hospitalized delivery from June 2011 to March 2013 were enrolled in the clinical trial. The experimental group was divided into full-term pregnancy with no clinical pathway before June 1, 2011 108 cases of premature rupture as a control group, a retrospective comparative analysis. Results The incidence of cesarean section was lower in cases with full-term premature rupture of membranes than in those without clinical pathology (P <0.01), fetal distress and neonatal asphyxia (P All> 0.05). Conclusion Full-term premature rupture of membranes to implement the clinical pathway can reduce maternal and child complications and improve pregnancy outcomes. Full-term premature rupture of membranes for the implementation of clinical pathways can standardize the diagnosis and treatment of grass-roots hospitals, improve medical quality, ensure medical safety and improve teaching effectiveness, while reducing medical costs so that patients benefit.