胎膜早破引产时限的临床观察

Clinical Observation of the Time Limit for Premature Rupture of Membranes

目的研究分析胎膜早破引产时限和产妇分娩结局的关联性。方法根据我院2008年3月~2011年9月的86例胎膜早破患者来进行研究分析,将这些患者分组为对照组和观察组,均有43例,观察组患者在确诊胎膜早破后24小时进行引产,对照组在确诊后12小时引产,对两组产妇的分娩情况进行比较分析。结果观察组患者有90.7%是采取阴道分娩,9.3%是采取剖宫产,对照组患者有69.8%是采取阴道分娩,30.2%是采取剖宫产,结果存在统计学差异性（P〈0.05）。结论足月妊娠胎膜早破应该等到24小时后再引产,这样可以降低患者的剖宫产几率。

Objective To study the relationship between the time limit for the premature rupture of membranes and the delivery outcomes of pregnant women.Methods According to our hospital from March 2008 to September 2011,86 cases of fetal membrane early broken patients to conduct research and analysis,will these patients were grouped into control group and observation group had 43 cases,the observation group,the patients in the diagnosis of premature rupture of membranes（PROM） 24 hours after induction and control group in diagnosed 12 hours after induction of labor,the rate of two groups of maternal vaginal delivery rate,natural labor,cervical ripening,maternal condition for comparative analysis.Results 90.7% of the patients in the observation group were vaginal delivery,9.3% were taking cesarean section,the control group had 69.8% patients with vaginal delivery,30.2% were taking cesarean section,the observation group was lower than the control group,the vaginal delivery rate was higher than the control group,the results showed significant difference（P〈0.05）.Conclusion Premature rupture of membranes in term pregnancy should wait for 24 hours after the induction of labor,which can reduce the rate of cesarean section.