未足月胎膜早破相关危险因素及妊娠结局的分析

Analysis of Related Risk Factors and Pregnancy Outcome of Preterm Premature Rupture of Membranes

目的研究未足月胎膜早破(PPROM)相关危险因素及妊娠结局。方法便利选择2017年6月—2019年6月该院收治的120例PPROM孕妇为观察组,另择取同期收治的120例足月PROM孕妇为对照组,分析相关危险因素。结果①与对照组比较,观察组胎位异常、流产≥2次及生殖道感染发生率高,新生儿体重较低、Apgar评分较低,观察组新生儿感染率(10.83%)、新生儿窒息率(10.83%)及新生儿呼吸窘迫率(13.33%)均高于对照组(3.33%、4.17%、5.83%),差异有统计学意义(χ^(2)=5.128、3.844、3.895,P=0.024、0.050、0.048);②胎位异常、流产≥2次及生殖道感染是独立危险因素。结论重视危险因素,提供孕前、孕期保健,利于改善妊娠结局。

Objective To study the risk factors and pregnancy outcome of preterm premature rupture of membranes(PPROM).Methods The 120 pregnant women with PPROM admitted to the hospital from June 2017 to June 2019 were selected as the observation group,and 120 pregnant women with full-term PROM admitted during the same period were selected as the control group,and related risk factors were analyzed.Results 1.Compared with the control group,the observation group had abnormal fetal position,miscarriage≥2 times and high incidence of reproductive tract infection;the newborn weight was lower,the Apgar score was lower,the observation group neonatal infection rate(10.83%),neonatal asphyxia rate(10.83%)and neonatal respiratory distress rate(13.33%)were higher than those of the control group(3.33%,4.17%,5.83%),and the difference was statistically significant(χ^(2)=5.128,3.844,3.895,P=0.024,0.050,0.048);2.Abnormal fetal position,miscarriage≥2 times and reproductive tract infection were independent risk factors.Conclusion Paying attention to risk factors and providing health care before and during pregnancy will help improve pregnancy outcomes.