胎膜早破161例临床分析

Clinical analysis of 161 cases of premature rupture of membranes

目的:探讨胎膜早破与难产及母儿并发症的关系。方法:对983例无妊娠合并症及并发症的产妇资料进行回顾性分析,其中胎膜早破病例161例,胎膜未破病例822例作为对照组。结果:胎膜早破组的剖宫产率、早产率、新生儿窒息发生率均较对照组显著升高,母亲产褥病发生率两组间无差异。破膜距妊娠结束时间及早产与新生儿窒息关系密切。结论:胎膜早破与早产和新生儿窒息有一定关系,并导致剖宫产率明显升高。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 PROM and dystocia and prenatal complications.Methods 983 cases of lying-in women without pregnant complications and other diseases were analyzed,including 161 cases of PROM,822 cases of not-PROM as control. Results The rates of cesarean section,preterm birth,asphyxia of newborns in PROM were significantly higher than those of control.There was no difference between the frequency of postpartum infections of PROM and that of control.The duration between the rupture of membranes and the delivery,preterm birth was related with the rates of asphyxiat of newborns. Conclusion The PROM is the cause of dystocia and viceversa.Patients of PROM with different week of pregnancy should be treated with different methods to decrease the prenatal complications.