156例胎膜早破的临床分析

Clinical analysis of 156 cases of premature rupture of membrane

目的:探讨胎膜早破对母婴的影响,分析胎膜早破的病因及相关因素,寻找正确的处理方法,降低早产儿及围生儿的死亡率,提高母婴安全。方法:对2005年1月～2007年12月胎膜早破156例及无并发症与妊娠并发症的非胎膜早破组2118例临床资料回顾性对比分析。结果:胎膜早破组中早产儿、新生儿窒息率、围生儿死亡率、新生儿肺炎,新生儿颅内出血、脐带脱垂、产褥感染、产后出血及剖宫产率显著高于非胎膜早破组(P<0.01)。结论:加强孕期宣教及孕期检查,积极治疗和避免各种高危因素,以减少胎膜早破的发生率,对胎膜早破者,加强产前及产时监测,积极抗感染,适时终止妊娠,减少并发症的发生。

Objective： To discuss the effect of premature rupture of membrane on mother and child; analyze the causes of premature rupture of membrane and some related factors; find correct solutions to dealing with them, then to reduce the mortality of premature and perinatal infants; improve the safety of mother and infant. Methods： To make retrospective and comparative analysis of the clinical data of 156 cases of premature rupture of membrane and 2 118 cases of non-premature rupture of membrane from January 2005 to December 2007. Results： In the group of premature rupture of membrane,the asphyxia rates of premature and new-boru infants,the perinatal mortality, the rates of newborns＇ intracranial hemorrhage, umbilical cord prolapse, puerperal infection, postpartum hemorrhage and cesarean section were evidently higher than those in the group of non-premature rupture of membrane group （P〈0.01）. Conclusion： To strengthen the propaganda and inspection during the gestation period, treat it actively and avoid all kinds of high-risk factors, in order to reduce the rates of premature rupture of membrane. Patients with fetal membranes＇ early break strengthen monitoring before and during childbirth, resist infection positively, terminate the pregnancy at the right moment and reduce the occurrence of complications.