早产合并胎膜早破对产妇和早产新生儿的临床影响分析

Clinical Analysis of Premature Delivery Combined with Premature Rupture of Membranes on Maternal and Premature neonates

目的:分析早产合并胎膜早破对产妇和早产新生儿的临床影响。方法:选择2014年3月~2016年10月期间某院收治的50例早产合并胎膜早破产妇作为观察组,另选择同期本院收治的早产但未胎膜早破的50例产妇作为对照组,观察两组产妇分娩方式和产后出血发生率,并监测两组新生儿不良结局发生率情况。结果:观察组产妇剖宫产率(74.00%)显著高于对照组(48.00%),组间差异P<0.05;观察组产后出血发生率(12.00%)显著高于对照组(2.00%),组间差异P<0.05;观察组胎儿窘迫(42.00%)、新生儿肺炎(12.00%)、新生儿窒息(12.00%)、低体质量发生率(16.00%)均显著高于对照组(10.00%、2.00%、2.00%、2.00%),组间差异P<0.05。结论:早产合并胎膜早破对产妇和早产新生儿均存负性影响,可明显增加不良妊娠结局风险。

Objective：To analyze the clinical effect of premature delivery combined with premature rupture of membranes on maternal and premature neonates.Methods：50 patients with premature delivery of premature rupture of membranes were selected as the observation group from March 2014 to October 2016.Another 50 patients of premature delivery without premature rupture of membranes were treated with the same period were taken as the control group.Then observe the incidence of maternal delivery and postpartum hemorrhage in both groups and monitor the incidence of adverse outcomes in the two groups.Results：The rate of maternal cesarean section（74.00% ）was significantly higher in the observation group than in the control group（48.00% ）.The difference between the groups was P〈0.05.The incidence of postpartum hemorrhage in the observation group（12.00% ）was significantly higher than that in the control group（2.00% ）.The difference between the groups was P〈0.05（12.00% ）,neonatal asphyxia（12.00% ）and low body mass（16.00% ）were significantly higher in the observation group than in the control group（10.00% ,2.00% ,2.00% ,2.00% ）,with statistically significant difference between the two groups（P〈0.05）.Conclusion：Premature delivery combined with premature rupture of membranes has a negative effect on maternal and premature neonates,which can significantly increase the risk of adverse pregnancy outcome.