胎膜早破合并早产产妇进行规范化院前急救的效果分析

Analysis of the Effects of Standardized Pre-hospital Emergency Care for Pregnant Women with Premature Rupture of Membranes Complicated by Preterm Birth

目的研究规范化院前急救对胎膜早破合并早产孕产妇的干预效果。方法选取2020年10月至2023年10月厦门市妇幼保健院收治的76例胎膜早破合并早产的孕妇,按院前急救方案的不同分为观察组(规范化院前急救,n=38)和对照组(常规院前急救,n=38)。比较两组产妇的宫缩抑制时间和治疗时间,保胎成功率,新生儿Apgar评分和不良事件发生率。结果观察组产妇宫缩抑制时间和治疗时间均显著短于对照组产妇(P<0.001);接受急救后,观察组产妇保胎成功率显著高于对照组产妇(P<0.05);出生5 min后,观察组新生儿心率、皮肤颜色、呼吸、肌张力及弹足底反应的Apgar评分均高于对照组新生儿(P<0.001);观察组新生儿不良事件发生率为5.26%(2/38),显著低于对照组新生儿不良事件发生率[23.68%(9/38)](P<0.05)。结论规范化院前急救对胎膜早破合并早产孕产妇可快速抑制宫缩,提高保胎成功率,降低不良事件发生率,保障母婴的生命安全。

Objective To investigate the intervention effects of standardized pre-hospital emergency care on pregnant women with preterm premature rupture of membranes(PPROM)complicated by preterm birth.Methods 76 pregnant women with PPROM complicated by preterm birth admitted to Xiamen Maternal and Child Health Hospital from October 2020 to October 2023 were selected and divided into the observation group(standardized pre-hospital emergency care,n=38)and the control group(conventional pre-hospital emergency care,n=38)according to different pre-hospital emergency care protocols.The groups were compared based on uterine contraction inhibition time,treatment time,success rate of fetal preservation,Apgar scores of newborns,and incidence of adverse events.Results The uterine contraction inhibition time and treatment time of the observation group were significantly shorter than those of the control group(P<0.001);After receiving emergency treatment,the success rate of fetal preservation in the observation group was significantly higher than that in the control group(P<0.05);After 5 minutes of birth,the Apgar scores of heart rate,skin color,respiration,muscle tone,and plantar bounce reaction in the observation group were higher than those in the control group(P<0.001);The incidence of adverse events in the observation group of newborns was 5.26%(2/38),which was significantly lower than the incidence of adverse events in the control group of newborns[23.68%(9/38)](P<0.05).Conclusion Standardized pre-hospital emergency care for pregnant women with PPROM complicated by preterm birth can quickly inhibit uterine contractions,increase the success rate of fetal preservation,reduce the incidence of adverse events,and ensure the safety of both mother and child.