胎膜早破与剖宫产及产褥感染的关系分析

Analysis on the relationship between premature rupture of membranes and cesarean section and puerperal infection

目的探讨胎膜早破与剖宫产及产褥感染的关系。方法回顾性分析2014年1月~2016年6月我院收治的胎膜早破患者92例的临床资料,统计剖宫产的人数和产褥感染情况,分析胎膜早破与剖宫产及产褥感染的相关性。结果 92例胎膜早破患者中剖宫产人数为71例(77.2%),其余21例(22.8%)为自然分娩,差异有统计学意义(P<0.05);92例患者中发生产褥感染者15例,感染类型依次为子宫内膜炎5例(33.3%)、子宫肌炎4例(26.7%)、弥漫性腹膜炎3例(20.0%)、盆腔结缔组织炎2例(13.3%)、无血栓性静脉炎1例(6.7%),差异有统计学意义(P<0.05)。结论胎膜早破可增加产妇剖宫产的风险和产褥感染的发生率,严重威胁产妇和胎儿生命安全,必须采取有效措施降低胎膜早破的发生率,确保母婴安全。

Objective To investigate the relationship between premature rupture of membranes and cesarean section and puerperal infection. Methods The clinical data of 92 patients with premature rupture of membranes who were admitted in our hospital from January 2014 to June 2016 were retrospectively analyzed. The number of cesarean section and puerperal infection were collected, and the relationship between premature rupture of membranes and cesarean section and puerperal infection was analyzed. Results The number of cesarean section in 92 patients with premature rupture of membranes was 71 cases（77.2%）, and the remaining 21 cases（22.8%）were natural delivery, which was statistically significant（P0.05）; among 92 patients, puerperal infection was found in 15 cases, and there were 5 cases（33.3%）of endometritis, 4 cases of uterine myositis（26.7%）, 3 cases of diffuse peritonitis（20.0%）, 2 cases of pelvic connective tissue inflammation（13.3%）, 1 case of no thrombotic vein inflammation（6.7%）, the differences were statistically significant（P0.05）. Conclusion Premature rupture of membranes can increase the risk of maternal cesarean section and the incidence rate of puerperal infection, which is a serious threat to maternal and fetal safety. Effective measures must be adopted to reduce the incidence rate of premature rupture of membranes, so as to ensure the safety of mother and child.