胎膜早破382例临床分析

Clinical analysis of 382 patients with premature rupture of membranes

目的:分析足月胎膜早破与阴道感染的关系及其对母儿的影响,探讨胎膜早破的预防及处理方法。方法:收治因胎膜早破住院分娩无其他并发症的患者382例作为观察组,随机选取正常足月分娩患者400例作为对照组,进行对比、观察、分析。结果:观察组产前阴道感染率、剖宫产率及新生儿窒息率均高于对照组,差异有统计学意义(P<0.05)。结论:应加强孕前、孕期宣教及检查,并及早发现和治疗下生殖道感染;严密观察产程及母胎变化,降低母儿风险。

Objective:To analyze the relationship between premature rupture of membranes and vaginal infection,and to explorethe prevention and treatment of premature rupture of membranes.Methods:382 patients with premature rupture of membranes inhospital delivery without other complications were selected as the observation group.400 cases of normal term delivery wererandomly selected as the control group.We made comparative observation and analysis.Results:The rate of prenatal vaginalinfection,cesarean rate and neonatal asphyxia rate in the observation group were higher than those in the control group,and thedifferences were statistically significant(P<0.05).Conclusion:We should strengthen education and examination before and duringpregnancy,and make early detection and treatment of genital tract infection,make strict observation of labor and maternal fetalchanges,reduce maternal risk.