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目的:探讨胎膜早破产妇临床特点和处理措施,为临床胎膜早破的诊治提供参考。方法:选取胎膜早破产妇180例为观察组,选取同期未发生胎膜早破的产妇180例为对照组。对照组产妇按照常规措施进行干预;观察组监测产妇及胎儿生命体征,采取预防感染、促进胎肺成熟等措施进行干预。对比两组产妇的分娩方式、并发感染的几率以及新生儿并发症的发生率。结果:观察组产妇自然分娩率为63.89%,显著低于对照组,而剖宫产率为32.22%,显著高于对照组(P<0.05);观察组新生儿早产发生率为25.56%,新生儿窒息发生率为13.89%,新生儿肺炎发生率为8.89%,显著高于对照组(P<0.05);观察组产妇宫内感染的发生率为3.33%,会阴切口感染的发生率为9.44%,显著高于对照组(P<0.05);两组产妇腹部切口感染和泌尿系感染发生率的对比,差异均没有统计学意义(P>0.05)。结论:胎膜早破可增加围生儿并发症以及产妇感染的发生率,临床应根据产妇的孕周、临床症状、体征以及相关感染的指标,制订诊治策略以降低并发症的发生率,改善产妇及新生儿的预后。
Objective: To investigate the clinical characteristics and treatment measures of premature rupture of membranes and to provide reference for clinical diagnosis and treatment of premature rupture of membranes. Methods: One hundred and eighty cases of premature rupture of membranes were selected as the observation group, and 180 maternal cases without premature rupture of membranes were selected as the control group. The control group of maternal intervention in accordance with conventional measures; observation group monitoring of maternal and fetal vital signs, to take to prevent infection, promote fetal lung maturation and other measures to intervene. The mode of delivery, the risk of complicated infection and the incidence of neonatal complications were compared between the two groups. Results: The rate of spontaneous delivery in observation group was 63.89%, significantly lower than that in control group, while the rate of cesarean section was 32.22%, significantly higher than that in control group (P <0.05). The incidence of preterm birth in observation group was 25.56% The incidence of asphyxia was 13.89%, the incidence of neonatal pneumonia was 8.89%, significantly higher than the control group (P <0.05); the incidence of intrauterine infection in the observation group was 3.33%, the incidence of perineal incision infection was 9.44% , Which was significantly higher than that of the control group (P <0.05). There was no significant difference between the two groups in the incidence of abdominal incision infection and urinary tract infection (P> 0.05). Conclusion: Premature rupture of membranes can increase the incidence of perinatal complications and maternal infection. According to maternal gestational age, clinical symptoms, signs and related indicators of infection, clinical diagnosis and treatment strategies should be formulated to reduce the incidence of complications and improve Maternal and newborn prognosis.