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目的:分析胎膜早破患者的妊娠结局。方法:选取我院2013年1月至2013年12月收治的80例胎膜早破的患者为观察组,另选取同期无胎膜早破的孕周相同的80例正常孕妇为对照组,比较两组分娩方式,产后母体并发症、新生儿并发症。结果:观察组的剖宫产率高于对照组,产后出血率、羊膜腔感染率、产褥病率高于对照组,新生儿感染、窒息、胎儿窘迫等发生率高于对照组,有统计学意义(P<0.05)。胎膜早破组产前感染的病例产后出血率、产褥病率高于未感染者,有统计学意义(P<0.05)。结论:胎膜早破者大多有不良的妊娠结局,产前感染是其重要的危险因素,宜采取早期期待治疗,以减少新生儿并发症。
Objective: To analyze the pregnancy outcome in patients with premature rupture of membranes. Methods: 80 cases of premature rupture of membranes treated in our hospital from January 2013 to December 2013 were selected as the observation group. Another 80 pregnant women with the same gestational age without premature rupture of membranes in the same period were selected as the control group. Two modes of delivery, postpartum maternal complications, neonatal complications. Results: The rate of cesarean section in the observation group was higher than that of the control group. The incidence of postpartum hemorrhage, amniotic cavity infection and puerperal morbidity were higher in the observation group than in the control group. The incidence of neonatal infection, asphyxia and fetal distress was higher than that of the control group Significance (P <0.05). Premature rupture of membranes prenatal infection in patients with postpartum hemorrhage, puerperal morbidity was higher than those without infection, with statistical significance (P <0.05). Conclusion: Most of the patients with premature rupture of membranes have poor pregnancy outcome. Prenatal infection is an important risk factor. Early expectant treatment should be taken to reduce neonatal complications.