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目的探讨胎膜早破与难产及母儿并发症的关系。方法对1234例无妊娠合并发症的产妇资料进行回顾分析,其中胎膜早破213例,胎膜未破1021例作为对照组。结果胎膜早破组的剖宫产率、早产率、新生儿窒息及肺炎发率的均较对照组显著升高,母亲产褥病率两组间无差异。破膜距妊娠结束时间及早产与新生儿窒息及肺炎关系密切。结论胎膜早破与难产互为因果关系。对不同孕周胎膜早破患者应采取不同治疗方案,以尽可能减少母儿并发症。
Objective To explore the relationship between premature rupture of membranes and labor and maternal complications. Methods Retrospective analysis of 1234 cases of pregnancy-free complications of maternal information, including premature rupture of membranes in 213 cases, 1021 cases of unruptured membranes as a control group. Results The rate of cesarean section, premature birth rate, neonatal asphyxia and pneumonia incidence in premature rupture of membranes group were significantly higher than those in control group. There was no difference between the two groups in maternal puerperal rate. Broken membrane from the end of pregnancy and premature birth and neonatal asphyxia and pneumonia are closely related. Conclusion Premature rupture of membranes and dystocia each causality. Different gestational weeks premature rupture of membranes should take different treatment options to minimize maternal and child complications.