胎膜早破348例临床分析

Clinical analysis on 348 cases premature rupture of membrane

目的:探讨胎膜早破的病因、诊断、预防及对母婴的影响。方法:选择2009年12月～2010年12月在本院住院分娩的348例胎膜早破的孕妇作为观察组,另外随机抽取本院同期无胎膜早破的健康孕妇300例作为对照组。比较两组患者的分娩方式及母婴并发症。结果:观察组剖宫产率为59.20%、新生儿窒息率为6.61%、新生儿肺炎率为2.01%,产后出血率(4.02%)、产褥感染率(3.45%),明显高于对照组,差异有统计学意义(P<0.05);破膜孕周越小,围生儿并发症发生率越高。结论:胎膜早破对孕妇及胎儿均有不良影响,应重视对胎膜早破的预防和处理,保障母婴的安全。

Objective：To study the reasons,diagnosis,preventions and influence on mather-infant of premature rupture of membrane（PROM）.Methods：Totally 348 women who suffered from premature rupture of membrane were selected as observation group,moreover,300 women of term pregnancy who didn＇t 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 incidence rates of caesarean section was 59.2%,neonatal asphyxia was 6.61%,neonatal pneumonitis was 2.01%,postpartum hemorrhage（4.02%） and puerperal infection（3.45%） in observation group were significantly higher than those in control group（P0.05）;Smaller the gestational age was,higher the mother-infant complications were.Conclusion：Premature rupture of membranes affects adversely to pregnant women and fetal,it is necessary to pay more attention to prevention and treatment of premature rupture of membrane in order to ensure the safety of the mather and infant.