胎膜早破危险因素分析及干预

Clinical analysis of risk factors of PROM and study of the intervention

目的探讨胎膜早破危险因素与分娩方式、母儿并发症的关系及早期干预.方法对2002年8月～2003年7月就诊的1 123例无妊娠合并症及并发症的产妇资料进行回顾性分析.结果胎膜早破组的早产率、剖宫产率、新生儿窒息率分别为17.6%,5.1%,3.4%与对照组(5.4%,1.2%,0.6%)相比均有显著性差异(P ＜0.01).结论胎膜早破与难产互为因果关系.应对不同孕周的胎膜早破患者采取不同的干预措施,以减少母儿并发症.

ObjectiveTo study the relationship among PROM and dystcim and prenatal complications and to study the intervention for risk factors.Methods1123 cases of lying-in women without pregnant complications and other disease were analyzed,including 176 cases of PROM.ResultsThe rates of cesarean section,preterm birth,asphyxia in PROM were higher significantly than those of control.ConclusionsThe PROM is the cause of dystocia and vice versa.Patients of PROM with different week of pregnancy should be treated with different methods to decrease the prenatal complications.