足月胎膜早破产妇相关因素及对母婴结局的影响

发布时间：2018-10-08 19:38

【摘要】：目的探讨足月胎膜早破产妇相关影响因素,分析预防控制策略以降低发生率,提高围生期母婴安全。方法选择2012年7月-2015年2月足月胎膜早破产妇83例为观察组,并选取同时期正常分娩产妇90例为正常组,采用回顾调查分析方法,分析相关影响因素。结果观察组产妇引产流产史、妊高症、糖尿病、阴道炎宫颈炎史及性生活等分布率分别为25.30%、14.46%、15.67%、32.53%、26.51%,均高于正常组,差异有统计学意义(P0.05);观察组双胎及多胎妊娠、瘢痕子宫、胎位异常及巨大儿等分布率分别为9.64%、12.05%、14.46%、10.84%,均高于正常组,差异有统计学意义(P0.05);观察组产妇阴道顺产、阴道助产、剖宫产等分布与正常组比较,差异有统计学意义(P0.05),观察组新生儿体质量、Apgar评分与正常组比较,差异有统计学意义(P0.05);观察组产后出血、产褥感染、绒毛膜羊膜炎、新生儿肺炎、新生儿窒息等发生率分别为14.46%、13.25%、10.84%、6.02%、13.25%,均高于正常组,差异有统计学意义(P0.05)。结论足月胎膜早破产妇的易发因素采取有效的措施预防控制降低其发生率,改善母婴围生期结局与预后。
[Abstract]:Objective to investigate the related factors of perinatal premature rupture of membranes and analyze the preventive and control strategies to reduce the incidence and improve the safety of perinatal infants and mothers. Methods from July 2012 to February 2015, 83 cases of term premature rupture of membranes were selected as observation group and 90 cases of normal delivery as normal group. Results the distribution rates of induced abortion, pregnancy induced hypertension, diabetes mellitus, cervicitis of vaginitis and sex life in the observation group were 25.30 and 14.46, respectively, which were significantly higher than those in the normal group (P0.05). The distribution rates of abnormal fetal position and macrosomia were 9.64% 12.05% and 14.46% 10.84, respectively, which were higher than those of normal group (P0.05), and the distribution of vaginal smooth delivery, vaginal midwifery and cesarean section in the observation group was compared with that in the normal group. The difference was statistically significant (P0.05), the Apgar score of neonatal weight in the observation group was significantly higher than that in the normal group (P0.05); postpartum hemorrhage, puerperal infection, chorioamnionitis, neonatal pneumonia, postpartum hemorrhage, puerperal infection, neonatal pneumonia in the observation group, The incidence of neonatal asphyxia was 14.46% 13.25% and 6.022% 13.25%, respectively, which was significantly higher than that of normal group (P0.05). Conclusion effective measures should be taken to prevent and control the incidence of term premature rupture of membranes and to improve perinatal outcome and prognosis.
【作者单位】：首都医科大学附属北京地坛医院妇产科;浙江省中医院妇产科;
【基金】：浙江省中医药科学研究基金资助项目(2013ZB058)
【分类号】：R714.433

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