足月胎膜早破160例临床分析

Clinical Analysis on Premature Rupture of Membrane of Full-term Pregnancy in 160 cases

目的分析足月胎膜早破与难产及母婴并发症的关系。方法选择2007年2月-2009年2月在我院住院分娩的160例妊娠足月的胎膜早破孕妇作为观察组,另随机抽取本院同期无胎膜早破的健康孕妇160例作为对照组。比较两组的分娩方式及母婴并发症。结果观察组的剖宫产率(36.3%)明显高于对照组(25.6%)(P<0.05);观察组发生胎儿窘迫、新生儿窒息及新生儿肺炎的比例明显高于对照组(P<0.05),但两组发生产褥感染的比例差异无统计学意义(P>0.05)。结论足月胎膜早破的剖宫产率、胎儿窘迫率、新生儿肺炎发生率升高,应重视胎膜早破的预防及处理,减少难产及母婴并发症的发生。

Objective To analyze the relationship between premature rupture of membrane of full-term pregnancy and dystocia as well as mother-infant complications. Methods Totally 160 women with full-term pregnancy who suffered from premature rupture of membrane were selected as observation group,moreover,160 women of term pregnancy who did not suffer from premature rupture of membrane were randomly chosen as control group. The delivery ways and mother infant complications were compared between the two groups. Results The rate of caesarean section in observation group （36.3%） were significantly higher than that in control group （25.6%）,（P0.05）. The incidence rates of fetal distress,neonatal asphyxia,and neonatal pneumonitis in observation group were significantly higher than those in control group （P0.05）,but no statistically significant difference was found in the incidence rate of puerperal infection between the two groups （P0.05）. Conclusions The rate of caesarean section and the incidence rates of fetal distress and neonatal pneumonitis are increased in women with premature rupture of membrane of full-term pregnancy. It is necessary to pay more attention to prevention and treatment of premature rupture of membrane in order to reduce the occurrence of dystocia and mother infant complications.