时机选择对胎膜早破引产的效果分析

Analysis of the effect of timing on induced labor after premature rupture of membranes

目的论胎膜早破引产的时机选择。方法117例胎膜早破后进行引产的产妇为研究对象,将胎膜早破后12 h内进行引产的55例产妇设为对照组,将胎膜早破后12-24 h内进行引产的62例产妇设为观察组。比较两组产妇干预效果,包括自然分娩、新生儿窒息、产后出血和引产后感染。结果观察组自然分娩率及引产后感染发生率分别为70.97%、53.23%,均高于对照组的52.73%、21.82%,差异有统计学意义(P<0.05)。观察组新生儿窒息率及产后出血发生率分别为9.68%、8.06%,均低于对照组的30.91%、32.73%,差异有统计学意义(P<0.05)。结论胎膜早破的产妇建议在胎膜早破12-24 h内进行引产,以提升自然分娩率,降低新生儿窒息发生率和产后出血发生率,提升整体分娩的安全性。

Objective To discuss the effect of timing on induced labor in premature rupture of membranes.Methods There were 117 maternal women with induced labor after premature rupture of membranes as study subjects,of which 55 maternal women with induced labor within 12 h after premature rupture of membranes were set as the control group,and 62 maternal women with induced labor within 12-24 h after premature rupture of membranes were set as the observation group.The intervention effects of the two groups were compared,including natural delivery,neonatal asphyxia,postpartum hemorrhage and infection after induced labor.Results The natural delivery rate and the incidence of infection after induced labor in the observation group were 70.97%and 53.23%respectively,which were higher than 52.73%and 21.82%in the control group,and the difference was statistically significant(P<0.05).The incidence of neonatal asphyxia and postpartum hemorrhage in the observation group were 9.68%and 8.06%respectively,which were lower than 30.91%and 32.73%in the control group,and the difference was statistically significant(P<0.05).Conclusion For maternal women with premature rupture of membranes,it is recommended to induce labor within 12-24 h of premature rupture of membranes,so as to improve the natural delivery rate,reduce the incidence of neonatal asphyxia and postpartum hemorrhage,and improve the safety of overall delivery.