未足月胎膜早破临床相关因素分析

Analysis on clinically relevant factors for preterm premature rupture of membranes

目的 探讨与未足月胎膜早破相关的危险因素及防治措施.方法 对61例未足月胎膜早破产妇临床资料进行回顾性分析和总结.结果 本次研究中未足月胎膜早破发生率为2.38%.与未足月胎膜早破相关的因素主要包括胎儿因素、孕妇因素等,其中孕妇相关因素占60.66%,胎儿相关因素占31.14%,同时还有一部分不明因素,占8.20%.胎儿因素主要包括胎位异常（9.84%）、羊水过多（6.56%）、妊娠双胎及多胎（6.56%）、胎盘早剥（4.92%）、前置胎盘（3.28%）等.孕妇因素主要包括感染（26.23%）、流产引产（16.39%）、妊娠期高血压（4.92%）、糖尿病（3.28%）等.结论 影响未足月胎膜早破的因素较多,必须尽早发现危险因素并及时干预对降低胎膜早破早产发生率.

Objective To investigate the clinically relevant factors and preventive measures on preterm premature rupture of membranes （PROM）. Methods The clinical data of 61 cases with PROM were analyzed retrospectively. Results In this study the incidence rates of PROM was 2.38%, including fetal factors （31.14%）, pregnant woman factor （60.66%）,and other unknown factors （8.20%）. Fetal factors were mainly abnormal fetal position （9.84%）, hydramnios （6.56%）, multiple gestation or twins （6.56%）,placental abruption （4.92%） and placental presentation （3.28%）,etc. Pregnant woman factors mainly included infection （26.23%）, abortion or labor induction, high blood pressure in gestation period （4.92%） and diabetes （3.28%）,etc. Conclusion Preterm PROM has many relevant factors, which must be found as early as possible to reduce the incidence rates of PROM.