胎膜早破162例临床分析

目的探讨胎膜早破与难产及母儿并发症的关系.方法对829例无妊娠合并症及并发症的产妇资料进行回顾性分析,其中胎膜早破病例162例,胎膜未破病例682例作为对照组.结果胎膜早破组的剖宫产率、早产率、新生儿窒息及肺炎发病率均较对照组显著升高,母亲产褥病率两组间无差异.破膜距妊娠结束时间及早产与新生儿窒息及肺炎关系密切.结论胎膜早破与难产互为因果关系.对不同孕周胎膜早破患者应采取不同治疗方案,以尽可能减少母儿并发症.

Clinical Analysis of 162 Cases of Premature Rupture of Membranes

Objective:To study the relationship among PROM and dystocia and prenatal complications.Methods:Eight hundred and twenty nine cases of lying in women without pregnant complications and other diseases were analyzed,including 162 cases of PROM,682 cases of not PROM as control.Results:The rates of cesarean section,preterm birth,asphyxiat and pneumonia of newborns in PROM were higher significantly than those of control.There was no statistical difference between the frequency of postpartum infections of PROM and that of control.The duration between the rupture of membranes and the delivery was related with the rates of preterm birth,asphyxiat and pneumonia of newborns.Conclusions:The PROM is the cause of dystocia and vice versa.Patients of PROM with different week of pregnancy should be treated with different methods to decrease the prenatal complications.