南油矿区产妇胎膜早破结局的临床分析和护理

Clinical analysis and nursing of premature rupture of membranes in Nanyou mining area

目的:探讨胎膜早破与难产及母儿并发症的关系,重视产程观察和护理,确保母婴安全。方法:对844例无妊娠并发症的产妇资料进行回顾性分析,其中胎膜早破患者162例(胎膜早破组),胎膜未破患者682例(胎膜未破组)作为对照,比较两组的分娩方式、母儿并发症发生情况,分析胎膜早破患者早产与新生儿并发症的关系及破膜时间距应用抗生素的时间、距妊娠结束的时间对母儿并发症的影响。结果:胎膜早破组的剖宫产率、早产率、新生儿窒息及新生儿肺炎发生率均较胎膜未破组明显升高(P<0.01),两组母亲产褥感染率差异无统计学意义(P>0.05)。破膜距妊娠结束时间及早产与新生儿窒息及新生儿肺炎关系密切,距抗生素应用时间对母儿并发症无明显影响。结论:胎膜早破与难产互为因果关系,应重视产程观察,对不同孕周胎膜早破患者应采取不同治疗处理方案,以尽可能减少母儿并发症的发生。

Objective： To study the relationship among premature rupture of membranes（PROM）,dystocia and complications of maternal and fetus.Attach importance to observe and nurse during birth process to ensure the safety of maternal and fetus.Methods： The clinical data of 844 cases of lying-in women who with or without pregnant complications were retrospectively analyzed,including 162 cases of PROM as study group and 682 cases of not-PROM as control group.To contrast mode of delivery,complications of maternal and fetus in two groups.To study the relationship between premature delivery and complications of fetus in PROM.To explore the effect of the time away from rupture of membranes to the use of antibiotics and to the end of pregnancy on complications of maternal and fetus.Results：The rates of cesarean section,preterm birth,neonatal asphyxia and pneumonia of newborns in PROM were higher significantly than those of controls（P〈0.01）.There was no statistical difference between the frequency of postpartum infections of PROM and that of controls（P〉0.05）.The time away from rupture of membranes to the end of pregnancy and premature delivery were related with asphyxiate and pneumonia of newborns.Conclusion： The PROM is the cause of dystocia and vice versa,so it is necessary to observe the birth process.Patients of PROM with different week of pregnancy should be treated with different methods to decrease the complications of maternal and fetus.