早产合并胎膜早破的发生因素及妊娠结局分析

目的：探讨早产合并胎膜早破的妊娠结局。方法：对本院2007年1月～2008年6月168例确诊为早产合并胎膜早破的产妇资料进行回顾性分析。结果：134例胎膜早破中以流产引产史、感染及胎位不正多见。孕28～34＋6周与孕35～36＋6周胎膜早破分娩方式比较,差异有统计学意义（P〈0.05）,新生儿发病率前者明显高于后者（P〈0.01）。结论：应进一步重视对胎膜早破的病因,孕前常规妇检,避免多次人工流产和引产,掌握胎膜早破的妊娠相关因素及处理方式,一旦有难产发生,应及时处理,以降低新生儿发病率和死亡率。

Factor in the occurrence of premature rupture of membranes and pregnancy outcome

Objective：To investigate pregnancy outcome of preterm premature rupture of membranes. Methods： The hospital in January 2007 to June 2008 confirmed 168 cases of premature rupture of membranes maternal data were analyzed retrospectively. Results： 134 patients with premature rupture of membranes in the history of abortion, abortion, infection, and malposition more common.28-34＋6 week pregnant and pregnant 35-36＋6 week PROM mode of delivery, the difference was statistically significant （P0.05）,neonatal morbidity was significantly higher than the former the latter （P0.01）.Conclusion： We should pay greater attention to the cause of premature rupture of membranes, pre-pregnancy routine Cervical, to avoid multiple flow and induced abortions,master of pregnancy-related factors and premature rupture of membranes treatment, if there is dystocia occur, should be a timely manner in order to reduce neonatal morbidity and mortality.