未足月胎膜早破产妇孕周、分娩时机对母婴结局的影响研究

发布时间：2018-08-11 09:07

【摘要】：目的探讨未足月胎膜早破(PPROM)产妇分娩孕周、分娩时机对母婴结局的影响。方法选取南阳医学高等专科学校第一附属医院收治的PPROM产妇217例(孕28~36周),另选取足月妊娠产妇100例(孕37~41周)。收集并比较不同分娩孕周、分娩时机产妇和新生儿的临床资料,包括分娩孕周、分娩时机、分娩方式、母亲并发症、新生儿结局。结果不同分娩孕周产妇分娩方式,母亲羊膜腔感染、产后出血、产褥感染发生率,新生儿窒息、NRDS、HIE、死亡发生率及产后1、5 min Apgar评分比较,差异有统计学意义(P0.05)。不同分娩时机产妇母亲羊膜腔感染、产后出血、产褥感染发生率比较,差异有统计学意义(P0.05);新生儿窒息、NRDS、HIE、死亡发生率及产后1、5 min Apgar评分比较,差异无统计学意义(P0.05)。结论 PPROM可引起不良分娩结局和剖宫产率的上升,胎膜早破至分娩时间越长母体发生产期并发症的风险越高。
[Abstract]:Objective to investigate the effect of delivery time on maternal and infant outcome of premature rupture of unmatured membranes (PPROM). Methods 217 cases of PPROM were selected from the first affiliated Hospital of Nanyang Medical College (2836 weeks of pregnancy) and 100 cases of full-term pregnant women (3741weeks of pregnancy) were selected from the first affiliated Hospital of Nanyang Medical College. To collect and compare the clinical data of different gestational weeks, delivery timing and newborn, including gestational age, delivery time, delivery mode, maternal complications and neonatal outcome. Results there were significant differences in different delivery modes, maternal amniotic cavity infection, postpartum hemorrhage, puerperal infection, neonatal asphyxia, NRDS HIEE, death rate and postpartum 1 ~ 5 min Apgar score (P0.05). The incidence of amniotic cavity infection, postpartum hemorrhage and puerperal infection in mothers with different delivery time was significantly different (P0.05), but there was no significant difference in the incidence of death and postpartum 1 min Apgar score (P0.05). Conclusion PPROM can cause an increase in the adverse outcome of delivery and the rate of cesarean section. The longer the membranes break up to the longer the delivery time, the higher the risk of maternal complications.
【作者单位】：南阳医学高等专科学校第一附属医院妇产科;
【分类号】：R714.433

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