胎膜早破对妊娠结局的影响

Effect of Premature Rupture of Membranes on Pregnancy Outcome

目的：探讨胎膜早破对妊娠结局的影响。方法分别以2012年1月～2016年9月我院收治的60例胎膜早破产妇和60例非胎膜早破产妇为实验组和对照组，回顾性分析患者临床资料，比较两组产妇第1～3产程时间，观察两组产妇剖宫产率和母婴并发症发生率。结果实验组剖宫产率（23.3%）和母婴并发症发生率（18.3%）均高于对照组，差异有统计学意义（P＜0.05）。结论足月妊娠胎膜早破可导致产程延长，增加剖宫产率和母婴并发症发生率。实施小剂量静滴缩宫素等干预手段能在一定程度上提高助产水平，促进胎膜早破产妇阴道分娩。

Objective To explore the effect of premature rupture of membranes on pregnancy outcome. Methods 60 cases of premature rupture of membranes respectively during January 2012~September 2016 in our hospital were diveded into experimental group and control group, the clinical data of the two groups were retrospectively analyzed, the 1-3 labor time were compared, maternal cesarean section rate and the incidence of maternal complications in two groups were observed. Results In the experimental group, the rate of cesarean section （23.3%） and the incidence of maternal and infant complications （18.3%） were higher than those in the control group （P〈0.05）.Conclusion Preterm premature rupture of membranes may lead to prolonged labor and increase the rate of cesarean section and the incidence of maternal and infant complications. The implementation of low-dose intravenous oxytocin interventions can improve midwifery level to a certain extent, promote the premature rupture of vaginal delivery.