| 徐娜 马锦琪 陈建英 黄劲松 吕祝武.胎膜早破120 例临床分析及与妊娠结局的关系[J].,2014,14(34):6673-6675 |
| 胎膜早破120 例临床分析及与妊娠结局的关系 |
| Clinical Analysis of 120 Cases of Premature Rupture Membranes and ItsRelationship with Pregnancy Outcome |
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| DOI： |
| 中文关键词: 胎膜早破 早产 治疗方法 结局 |
| 英文关键词: Premature rupture of membranes Pretermbirth Therapy Outcome |
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| 中文摘要: |
| 目的：探讨120 例胎膜早破(PROM)的临床特点及与妊娠结局的关系。方法：对2012 年12 月～2013 年12 月120 例PROM
的孕妇的临床资料进行回顾性分析，并以同期分娩的380 例无PROM的孕妇作为对照组。分析不同分娩方式对产妇和儿童的影
响。结果：PROM组的难产、剖宫产率分别为45.0%、43.3%，均明显高于对照组，差异有统计学意义（P＜0.05）。PROM组中的早产、
新生儿窒息、新生儿肺炎的发病率分别为11.7%、7.5%、4.2%，与对照组相比均明显增高(P＜0.05）；两组产褥感染的发病率差异无
统计学意义（P＞0.05）。结论：PROM与难产、早产密切相关，对PROM的孕妇应加强临床观察，对不同孕周的PROM采取不同的
治疗方案，一旦有难产发生应及时处理，以减少母婴并发症的发生。 |
| 英文摘要: |
| Objective:To investigate the clinical characteristics of 120 cases of premature rupture of membranes (PROM)and the
relationship between the clinical features and outcome of pregnancy.Methods:The clinical data of 120 pregnant women with premature
rupture of membranes (PROM) fromDecember 2012 to December 2013 were analyzed retrospectively, and 380 cases of pregnant women
without premature rupture of membranes during the same period were studied as control group. The final delivery style and the maternal
and children's terminations were compared. Effects of different delivery modes on mothers and children were analysed.Results:The rates
of dystocia, pretermbirth, cesarean section of PROMgroup were 45.0%and 43.3 %, significantly higher than those of the control group,
the difference was statistically significant (P＜0.05). The incidence of premature birth, asphyxia of newborn, neonatal pneumonia in
PROMgroup was 11.7%, 7.5%and 4.2%respectively, significantly higher than those in the control group, the difference was statistically
significant (P＜0.05), there was no statistically significant difference in the incidence of puerperal infection between two groups (P＞
0.05).Conclusion:PROM is closely related to dystocia and premature delivery, more attention should be paid on premature rupture of
membranes and patients of premature rupture of membranes with different weeks of pregnancy should be treated with different methods
to decrease the prenatal complications. |
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