摘要
目的探讨不同孕周对未足月胎膜早破分娩方式以及母儿的影响。方法选择山东大学齐鲁医院桓台分院妇产科2012年6月至2014年6月收治的107例不同孕周的胎膜早破产妇为研究对象,其中大于等于28小于32周的胎膜早破产妇53例,设为28~31＋6周组,大于等于32小于36＋6周的胎膜早破产妇54例,采用回顾性分析的研究方法,设为32~36＋6周。对两组患者病历资料进行回顾性分析研究,研究不同孕周未足月胎膜早破的患者对分娩方式的选择,并记录每种分娩方式的例数。研究不同孕周未足月胎膜早破产妇产后出血、产褥感染、新生儿呼吸窘迫综合征、新生儿窒息、新生儿肺部感染和死亡的例数。结果28~31＋6周组与32~36＋6周组相比,新生儿Apgar评分中心跳、呼吸、肌肉张力、对刺激反应、肤色及总分均无显著性差异（t值分别为0.59、0.53、1.15、0.93、0.63、0.23,均P〉0.05）。孕妇的分娩方式、产后出血、产褥感染率均无显著性差异（χ2值分别为1.02、1.97、2.25、1.29、0.84,均P〉0.05）。28~31＋6周组与32~36＋6周组相比,胎儿娩出后发生呼吸窘迫综合征、新生儿窒息、肺部感染以及死亡的比率均明显升高,具有显著性差异（χ2值分别为8.89、5.25、6.13、4.52,均P〈0.05）。结论胎膜早破发生的时间对分娩方式的选择及对母体预后的影响较小,但对新生儿的影响较显著,延长孕周可减少新生儿并发症的发生,临床医生要根据实际情况采取较为合理的处理方式,以减轻胎膜早破对母儿的危害。
Objective To explore the influence of different gestational weeks on mode of delivery in puerperae with premature rupture of membranes before term and health of their babies. Methods A total of 107 cases of puerperae of different gestational weeks were selected as research objects. They experienced premature rupture of membranes before term and received treatments at Qilu Hospital of Shandong University from June 2012 to June 2014. Among them, gestational weeks of 53 puerperae were equal or more than 28 weeks while less than 32 weeks. These puerperae were chosen in 28 -31 ＋6 weeks group. Besides, gestational weeks of 54 puerperae were equal or more than 32 weeks while less than 36＊6 weeks, and they were selected in 32 -36＋6 weeks group. Retrospective analyses of the medical records of puerperae in both groups were carried out so as to study the mode of delivery chosen by puerperae of different gestational weeks after they experienced premature rupture of membranes before term. In addition, the number of puerperae choosing different mode of delivery was recorded. Moreover, research on the number of cases with postpartum hemorrhage, puerperal infection, neonatal respiratory distress syndrome, neonatal asphyxia, neonatal pulmonary infection, and death was also carried out. Results No significant difference was identified between neonates in 28 -31 ＋6 weeks group and 32 -36 ＋6 weeks group in the scores of heart rate, breathing effort, muscle tone, reflexes, skin color and the aggregate score when taking neonatal Apgar test （t value was 0.59, 0.53, 1.15, 0.93, 0.63 and 0. 23, respectively, all P 〉 0. 05 ）. There was no significant difference among puerperae in mode of delivery, incidence rate of postpartum hemorrhage, and puerperal infection （X2 value was 1.02, 1.97, 2.25, 1.29, O. 84 respectively, all P 〉 0. 05）. The incidence rate of neonatal respiratory distress syndrome, neonatal asphyxia, neonatal pulmonary infection, and death in neonates was significantly higher in the 28 -31 ＋6 weeks gr
出处
《中国妇幼健康研究》
2016年第5期616-618,共3页
Chinese Journal of Woman and Child Health Research
基金
浙江省丽水市科技局资助项目(编号:2013JYZB60)
关键词
孕周
胎膜早破
分娩方式
母儿影响
gestational weeks
premature rupture of membranes
mode of delivery
influence on puerperae and babies
