246例胎膜早破的临床分析

The Clinical Analysis of 246 Cases with Premature Rupture of Membranes

目的探讨胎膜早破的临床特点及对妊娠结局的影响,进一步指导临床。方法回顾性分析我院2015年1月至2015年12月住院分娩胎膜早破产妇246例,总结其胎膜早破的病因及对妊娠结局的影响。结果住院分娩产妇6890例,其中246例发生胎膜早破,其发生率为3.6%。导致其发生的主要病因为生殖道感染、胎方位异常、流产、巨大儿、多胎妊娠、羊水过多、妊娠期高血压疾病等。246例胎膜早破中自然分娩85例(34.6%),剖宫产161例(65.4%),胎儿窘迫48例(19.5%),新生儿窒息3例(1.22%)。结论胎膜早破对母婴结局影响较重,应重视易发生胎膜早破的病因,加强产前监护,积极采取应对措施,从而降低胎膜早破的发生率。

Objective To explore the clinical features of premature rupture of membranes, and the influence On pregnancy outcome, further guide clinical. Methods A retrospective analysis of our hospital between January 2015 and December 2015, 246 cases of premature rupture of membranes in hospital childbirth puerpera, summed up the cause of premature rupture of membranes and its influence on pregnancy outcome. Results 6890 cases of hospitalized pregnant women, of which 246 cases of premature rupture of membranes occurred, the incidence was 3.6%. Lead to the occurrence of major diseases because of reproductive tract infections, abortion, macrosomia, multiple pregnancy, polyhydramnios, gestational hypertension disease, etc. 246 cases of premature rupture of membranes in the natural birth in 85 cases （34.6%）, 161 cases of cesarean section （65.4%）, fetal distress 48 cases （19.5%）, neonatal asphyxia in 3 patients （1.22%）. Conclusion Impact on maternal and infant outcomes heavier, should pay attention to the causes of premature rupture of membranes occurred easily, to strengthen the antenatal care and take active measures, so as to reduce the incidence rate of premature rupture of membranes.