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发生原因和妊娠结局。方法选取2009年11月至2013年2月于我院产科就诊的120例早产合并胎膜早破患者作为观察组；同时选取该时间段内早产无胎膜早破孕妇120例设为对照组。通过结合观察组产妇的具体情况，适时采取促胎肺成熟、引产及剖宫产等措施。对比观察两组孕妇的异常情况，如感染、宫腔内手术史、宫颈口松弛、头盆不称、胎住异常等；分别观察两组的母儿状况，比较两组孕妇的妊娠结局。结果观察组孕妇的异常情况占比明显较对照组高，差异有统计学意义（P〈0.05）；观察组产妇行剖宫产、出现胎儿窘迫、产后出血者，以及新生儿出现早产、肺炎、窒息情况者与对照组相比，差异均有统计学意义（P〈0．05）。结论引发胎膜早破的原因很多，应注意孕妇的定期检查，及时采取措施应对胎膜早破的发生，减少母儿的危险，改善预后。

Occurrence of Preterm Rupture of Membranes Factors and Pregnancy Outcomes

Objective To investigate the cause of premature rupture of membranes and pregnancy outcomes. Methods November 2009 to February 2013 in our hospital obstetric treatment of 120 cases of premature rupture of membranes patients were as the observation group; also select the time period 120 cases of pregnant women in preterm premature rupture of membranes served as controls. By combining the specific circumstances of the observation group maternal and adopting other measures to promote fetal lung maturity, induction of labor and cesarean section. Comparated study of two groups of pregnant women unusual circumstances, such as infection, intrauterine surgery, cervical dilation, head disproportion, fetal abnormalities; mother-to-child status of the two groups were observed, compared two groups of pregnant women pregnancy outcomes. Results Anomalies accounted for pregnant women in the observation group was significantly higher than the control group, the difference was statistically significant （P〈0.05） ; The observation group maternal cesarean section, fetal distress, postpartum hemorrhage, and neonatal premature birth, pneumonia asphyxia compared with the control group, the differences were statistically significant （P〈0.05） . Conclusion The cause of premature rupture of membranes, should pay attention to the regular inspection of the pregnant women, to take timely measures to deal with the occurrence of premature rupture of membranes, reduce the risk of mother and child and improve the prognosis.