216例胎膜早破对分娩方式及母婴的影响

Impact of premature rupture of membranes on delivery mode and maternal and child in 216 cases

目的:探讨胎膜早破对分娩方式及母婴的影响。方法:选择胎膜早破患者216例,对其资料进行回顾性分析。结果:本组216例胎膜早破<12 h临产22例,占10.2%;12～24 h临产116例,占53.7%;>24 h后临产78例,占36.1%。胎膜早破组阴道分娩126例,阴道分娩率58.33%;对照组阴道分娩165例,阴道分娩率75.00%,明显低于对照组差异有统计学意义(P<0.01);胎膜早破组剖宫产率为41.678%,对照组剖宫产率为25.00%,明显高于对照组,差异有统计学意义(P<0.01)。结论:胎膜早破增加了产妇的难产率,对产妇增加了感染机会,使婴儿窘迫发生率、新生儿窒息率、新生儿肺炎率明显增加。

Objective To explore the impact of premature rupture of membranes on delivery mode and maternal and child.Method Data of total 216 cases of hospitalized patients with premature rupture of membranes in our hospital from January 2010 to March 2011 were retrospectively analyzed.Results The group of 216 patients with premature rupture of membranes 12 h in labor were 22 cases,accounted for 10.2%,12 to 24 h in labor were 116 cases,accounted for 53.7%,after 24 h in labor 78 cases,accounted for 36.1%.The vaginal delivery rate was 58.33% in premature rupture of membranes group,in the control group of 165 cases,the vaginal delivery rate was 75.00%,significantly lower than the control group（P0.01）;The cesarean delivery rate of premature rupture of membranes group was 41.678%,in the control group was 25.00%,significantly higher than the control group（P0.01）.Conclusion Premature rupture of membranes increases the rate of maternal dystocia,increases chances of infection in the maternal,the incidence of infant distress,neonatal asphyxia and neonatal pneumonia are significantly increased.