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目的:探讨胎膜早破的病因及妊娠结局。方法:以260例胎膜早破的产妇为观察组,选择同期无胎膜早破的产妇260例为对照组,比较2组孕妇的发病相关因素及母儿妊娠结局。结果:观察组在孕期生殖道感染、胎位不正、头盆不称方面与对照组相比,差异有统计学意义(P<0.05);观察组剖宫产率、产褥感染率、胎儿窘迫、新生儿感染率高于对照组,差异有统计学意义(P<0.05)。结论:胎膜早破发生与生殖道感染、胎位不正、头盆不称等因素相关,胎膜早破可增加难产,导致母婴感染及不良妊娠结局。故应加强孕期管理,减少胎膜早破发生率,正确处理胎膜早破,改善母婴结局。
Objective: To investigate the etiology and pregnancy outcome of premature rupture of membranes. Methods: 260 cases of premature rupture of membranes were selected as observation group. 260 cases of maternal without premature rupture of membranes in the same period were selected as the control group. The incidence of maternal and fetal pregnancy outcomes were compared between the two groups. Results: There were significant differences between the observation group and the control group in genital tract infection during pregnancy, malposition of the fetus and headlessness (P <0.05). Cesarean section rate, puerperal infection rate, fetal distress, Neonatal infection rate was higher than the control group, the difference was statistically significant (P <0.05). Conclusion: Premature rupture of membranes is associated with reproductive tract infections, malposition of the fetus, and the lack of the first basin. Premature rupture of membranes can increase dystocia, leading to maternal and infant infections and adverse pregnancy outcomes. Therefore, pregnancy management should be strengthened to reduce the incidence of premature rupture of membranes, premature rupture of membranes to improve maternal and child outcomes.