胎膜早破发病因素的分析及临床处理

目的探讨胎膜早破的发病因素与分娩方式、对母儿结局的影响及其早期合理的临床处理措施.方法回顾性分析2003年1月～2005年12月就诊的874例无妊娠合并症及并发症的产妇资料,其中胎膜早破者430例,胎膜未破者444例作为对照组.结果胎膜早破组的早产率为18.3%、剖宫产率为8.2%、新生儿窒息率为4.1%,;对照组早产率为4.6%、剖宫产率为2.3%、新生儿窒息率为0.8%,两组间有显著性差异(P＜0.05).结论胎膜早破与难产的关系密切.应重视胎膜早破发生的原因,加强孕前和孕期保健,降低胎膜早破发生率.并对不同孕周的胎膜早破患者加强临床监护,给予正确处理,减少母儿并发症.

Clinical procedures and analysis of etiological factors of premature rupture of membranes

Objective To study the relationship among premature rupture of membranes and delivery style and prenatal complications and to study the early intervention of clinical procedures. Methods 874 cases of lying-in women without pregnant complications and other diseases were analyzed from 2003 to 2005, including 430 cases of PROM and 444 controlls. Results The rates of preterm birth, cesarean section, asphyxia in PROM were higher significantly than those of controlls. Conclusions The PROM is the cause of dystocia. We should pay much attention on PROM and patients of PROM with different week of pregnancy should he treated with different methods to decrease the prenatal complications.