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目的:探讨胎膜早破的可能诱因及其对母儿结局的影响。方法:回顾我院2010年5月～2012年5月入院分娩孕妇的病历资料,将其中方式胎膜早破的300例作为胎膜早破组,胎膜未破病例300例作为对照组,进行回顾性对照分析。结果:PROM组孕产妇并发症发生率明显高于对照组,有统计学差异。胎膜早破距分娩时间的长短与新生儿预后密切相关。当破膜时间≥24小时时,有早产儿30例(55.55%),新生儿窒息30例(55.55%),新生儿感染18例(33.33%),明显高于破膜时间<24小时的情况,即早产儿24例(9.76%),新生儿窒息18例(7.32%),新生儿感染6例(2.44%)。破膜≥24h与破膜<24h相比,P<0.05,有显著差异。结论:胎膜早破患者的难产发生率及新生儿并发症发生率均较高,临床一旦发现,应对其加强管理,严密观察,以减少母婴并发症发生率。
Objective: To investigate the possible causes of premature rupture of membranes and its impact on the outcome of maternal and child. Methods: The data of pregnant women admitted to hospital from May 2010 to May 2012 were retrospectively analyzed. Among them 300 cases of premature rupture of membranes were treated as 300 cases of premature rupture of membranes and 300 cases of unruptured membranes as control group. Retrospective comparative analysis. Results: The incidence of maternal complications in PROM group was significantly higher than that in control group, with statistical difference. The duration of premature rupture of membranes is closely related to the prognosis of neonates. When the rupture time was more than 24 hours, there were 30 cases (55.55%) of premature children, 30 cases (55.55%) of neonatal asphyxia and 18 cases (33.33%) of newborn infants, which were significantly higher than the cases of rupture time <24 hours 24 cases (9.76%) were premature children, 18 cases (7.32%) were neonatal asphyxia and 6 cases (2.44%) were newborn infants. Breaking membrane ≥ 24h and rupture of membrane <24h, P <0.05, there are significant differences. Conclusion: The incidence of dystocia and neonatal complications in patients with premature rupture of membranes is high. Once the clinical symptoms are found, it should be strengthened management and close observation to reduce the incidence of maternal and infant complications.