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目的:探讨胎膜早破与对分娩结局的影响。方法:回顾性分析2010-2012年在我院分娩的282例胎膜早破产妇为观察组对象,并与同期无胎膜早破的282例产妇为对照组对象。比较两组产妇母婴结局。结果:胎膜早破者阴道分娩158例;占56%;剖宫产分娩124例;占43.9%;对照组阴道分娩202例;占71.6%;剖宫产分娩80例;占28.4%。观察组产妇感染、难产和产后出血率明显高于对照组,差异有统计学意义(P<0.05),观察组胎儿窘迫、早产率明显高于对照组产妇的,差异有统计学意义(P<0.05)。结论:胎膜早破明显增加母婴风险,增加剖宫产率,在临床工作中,积极处理,改善母婴结局。
Objective: To investigate the impact of premature rupture of membranes on delivery outcome. Methods: A retrospective analysis of 282 cases of premature rupture of membranes in our hospital from 2010 to 2012 was taken as the observation group, and compared with 282 maternal without premature rupture of membranes in the same period as the control group. Maternal and infant outcomes were compared between the two groups. Results: Premature rupture of membranes in 158 cases of vaginal delivery, accounting for 56%; cesarean section delivery of 124 cases, accounting for 43.9%; control group 202 cases of vaginal delivery, accounting for 71.6%; cesarean section delivery of 80 cases, accounting for 28.4%. The incidence of maternal infection, dystocia and postpartum hemorrhage in the observation group was significantly higher than that in the control group (P <0.05). The fetal distress and premature delivery rate in the observation group were significantly higher than those in the control group (P < 0.05). Conclusion: Premature rupture of membranes significantly increase the risk of maternal and infant, increase the rate of cesarean section, in clinical work, and actively deal with and improve maternal and infant outcomes.