胎膜早破母婴高危程度的探讨

目的探讨胎膜早破造成母婴高危程度指导临床选择合理的分娩方式与时机。方法选取我院足月孕妇2765例,回顾分析其临床资料,其中胎膜早破269例,余胎膜未早破2496例为对照组。结果胎膜早破组手术产率达68.03%,而正常对照组手术产率达52.04%,胎膜早破组手术产率明显比对照组高,胎膜早破组预后不良比例3.35%,比对照组0.56要高的多,2组间差异P值均<0.01,在统计学上有意义,而2组间的产褥病率分别为1.49%和1.56%,2者相差不大,没有统计学意义(P>0.05)。结论根据胎膜早破患者实际情况选择合理的分娩方式、时机能够提高患儿的生存质量。

Objective To study the maternal and infant high--risk degree caused by premature rupture of membranes as the clinical guidance to the rational choice of delivery mode and opportunity.Methods Selected the 2765 full--term cases,received and analyzed the clinical data,the premature rupture of group was of 269 cases,the other 2496 eases were in the control group.Results The delivery rate by operation of premature rupture of membrane group was 68.03%,but the normal control group was 52.04%,the rate of premature rupture of membrane group was obviously higher than that of the control group.The bad prognosis proportion of premature rupture of membrane group（3.35%） was much higher than that of the control group（0.56）,the P values between the two group were 〈 0.05,statistically meaningful.However the childbed morbidities difference between the two groups was not statistically significant （P〉0.05）,respectively 1.49% and 1.56%.Conclusion Selecting the rational delivery method and time can improve the life quality of children according to the situation of the premature rupture of membranes.