胎膜早破225例临床分析

Clinical analysis of 225 cases with premature rupture of membranes

目的:探讨胎膜早破的危险因素以及对母婴的影响。方法:选取本院2007年9月～2010年8月收治的225例胎膜早破产妇的临床资料,记为观察组,选取同期收治的200例无胎膜早破产妇的临床资料作为对照,记为对照组,比较两组母婴并发症以及难产发生率,分析胎膜早破的危险因素。结果:观察组产妇发生难产以及母婴并发症发生率明显高于对照组,两组患者比较差异有统计学意义(P<0.05)。胎位不正、早产流产史、妊娠高血压是胎膜早破的危险因素。结论:胎膜早破是新生儿发病和死亡的主要原因,应重视胎膜早破的危险因素,做好正确的预防、诊断和治疗,减少母婴并发症。

Objective： To explore the risk factors of premature rupture of membranes and effects on mothers and infants. Methods： Selected 225 cases from September 2007 to August 2010 in our hospital were premature rupture of membranes of the clinical data, notes for the observation group. Selected the same period of 200 cases without premature rupture of maternal clinical data as control, notes for the control group, compared the two groups of maternal complications and the incidence of dystocias, analyzed the premature rupture of fetal membranes risk factors. Results： The observation group maternal dystocia occurred and maternal complication rate was significantly higher than that in the control group, two groups of patients had a significant difference （P0.05）. Abnormal fetal position, history of abortion, preterm premature rupture of membranes of pregnancy induced hypertension was a risk factor. Conclusion： Premature rupture of membranes in neonates is a major cause of morbidity and mortality, attention should be paid to the risk factors of premature rupture of membranes, correctly the prevention, diagnosis and treatment, reduce maternal complications.