期刊文献+

未足月胎膜早破患者易发因素分析及妊娠结局探讨 被引量:8

Discussion on Predisposing Factors of Patients with Preterm Premature Rupture of the Membranes and Pregnancy Outcome
下载PDF
导出
摘要 目的探讨未足月胎膜早破(preterm premature rupture of membranes,PPROM)患者的主要易发因素,并观察母婴结局,为临床预防及治疗提供依据。方法选择本院2013年1月至2015年3月间PPROM患者117例为观察组,并选取同期正常产妇112例为对照组,观察比较两组PPROM的相关易发因素及妊娠结局。结果观察组阴道炎宫颈炎史、引产流产史、瘢痕子宫、胎位异常、糖尿病/妊高征和性生活等的比例分别为27.35%(32/117)、23.93%(28/117)、11.11%(13/117)、15.38%(18/117)、12.82%(15/117)和10.26%(12/117),均高于对照组,差异均具有统计学意义(P<0.05);两组双胎妊娠比例差异无统计学意义(P>0.05)。观察组阴道顺产率、阴道助产率和剖宫产率分别为19.66%(23/117)、39.32%(46/117)和41.03%(48/117),与对照组比较,差异具有统计学意义(P<0.05)。观察组新生儿窒息、新生儿肺炎、产后出血、产褥感染、绒毛膜羊膜炎、呼吸窘迫综合征(NRDS)、早产和围生儿死亡的发生率分别为17.95%(21/117)、7.69%(9/117)、12.82%(15/117)、22.22%(26/117)、8.55%(10/117)、15.38%(18/117)、94.87%(111/117)和5.13%(6/117),均高于对照组,差异均具有统计学意义(P<0.05)。观察组新生儿体重和Apgar评分分别为(1 788.20±276.54)g和(7.39±0.60)分,均低于对照组,差异具有统计学意义(P<0.05)。观察组产妇分娩后住院天数为(9.62±0.63)d,显著长于对照组,差异具有统计学意义(P<0.05)。结论未足月胎膜早破(PPROM)患者的易感因素复杂,阴道炎宫颈炎史、引产流产史、瘢痕子宫、胎位异常、糖尿病/妊高征和性生活等均可引发,PPROM新生儿并发症较多,临床上应重视PPROM妊娠前检查和保健,并及时发现其易发因素,以改善妊娠结局。 Objective To discuss the main predisposing factors of preterm premature rupture of membranes (PPROM), and observe the outcomes of mother and infant, so as to provide evidence for clinical prevention and treatment. Methods 117 cases of PPROM patients hospitalized from January 2013 to March 2015 were selected as observation group, 112 cases of normal puerpera at the same period were selected as control group, to observe and compare the related predisposing factors of PPROM and pregnancy outcomes. Results The percentage of vaginitis/cervicitis history, abortion history, uterine scar, fetal abnormalities, diabetes/pregnancy-induced hypertension and sexual life of the observation group was 27.35% (32/117), 23.93% (28/117), 11.11% (13/117), 15.38% (18/117), 12.82% (15/117) and 10.26%(12/117) respectively, significantly higher than that of the control group, respectively (P〈0.05);No statistical difference was found in twin pregnancy. The rates of vaginal spontaneous delivery, vaginal assistant delivery and caesarean section of the observation group were 19.66%(23/117), 39.32%(46/117) and 41.03%(48/117) respectively, significantly different from those of the control group (P〈0.05). The incidence of neonatal asphyxia, neonatal pneumonia, postpartum hemorrhage, puerperal infection, chorioamnionitis, neonatal respiratory distress syndrome (NRDS), premature birth and perinatal mortality of the observation group was 17.95%(21/117), 7.69%(9/117), 12.82%(15/117), 22.22%(26/117), 8.55%(10/117), 15.38%(18/117), 94.87%(111/117) and 5.13%(6/117) respectively, significantly higher than that of the control group, respectively (P〈0.05). The birth weight and Apgar score of the observation group were (1 788.20 ± 276.54) g and (7.39 ± 0.60) points respectively, significantly lower than those of the control group (P〈0.05). The length of hospital stay after childbirth of the observation group was (9.62 ± 0.63) d, significantly longer than that of the control group (P〈0.05). Conclusions PPROM patients have complex predisposing factors, which can be caused by vaginitis/cervicitis history, abortion history, uterine scar, fetal abnormalities, diabetes/ pregnancy-induced hypertension and sexual life. Newborns of PPROM patients have more complications. Clinical doctors should pay attention to PPROM check and health care before pregnancy, and detect its predisposing factors to improve the outcome of pregnancy.
作者 张珊珊
出处 《临床医学工程》 2015年第11期1443-1445,共3页 Clinical Medicine & Engineering
关键词 未足月 胎膜早破 易发因素 妊娠结局 Premature Premature rupture of membranes Predisposing factor Pregnancy outcome
  • 相关文献

参考文献10

二级参考文献81

  • 1梁莹莹,王子莲.感染性早产的诊断与治疗[J].中华妇产科杂志,2005,40(12):861-863. 被引量:32
  • 2秦汉钟.胎膜早破与难产[J].中国实用妇科与产科杂志,1996,12(1):7-9. 被引量:66
  • 3曹泽毅.妇产科学[M].北京:人民卫生出版社,2001.1300.
  • 4丰有吉,沈铿.妇产科学[M].北京:人民卫生出版社,2010,7(2):60.
  • 5丰有吉,沈铿.妇产科学[M].第2版.北京:人民卫生出版社,2012:340.
  • 6李亚里,姚元庆.妇产科聚焦:新理论新技术新进展与临床实践[M].北京:人民军医出版社,2011:381.
  • 7Shobokshi A, Sharawy M. Maternal serum and amniotic fluid cytokines in patients with preterm premature rupture of membranes with and without intrauterine infection[J]. Int J Gyneeol Obstet, 2002,79(3): 209-215.
  • 8Lieman JM, Brumfield CG, Carlo W. Preterm premature rupture of membranes; Is there an optimal gestational age for delivery [J]. Ob stet Gynecol, 2005,105 (1) : 12-17.
  • 9马丁,鲁秋云.妇产科疾病诊疗指南.2版[M].北京:科学出版社,2005:168.
  • 10Dechen TC, Sumit K, Ranabir P. Correlates of vaginal colonization with group B among pregnant women[J]. ] Glob lnfect Drs,2010,2 (3):236 241.

共引文献167

同被引文献70

引证文献8

二级引证文献59

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部