摘要
目的探讨早期未足月胎膜早破残余羊水量对分娩方式及母儿结局的影响。方法收集该院2013年1月至2015年9月孕28~34周因胎膜早破住院分娩的孕妇共52例。根据残余羊水量，将羊水量指数（AFI）≤3cm作为羊水量极少组（A组），将AFI〉3～5cm作为羊水量过少组（B组），将AFI〉5cm作为羊水量偏少组（C组）。观察3组间破膜至分娩时间、分娩方式、分娩并发症及新生几肺炎、新生儿呼吸窘迫综合征、先天性感染、新生儿贫血、新生儿黄疸等情况。结果A组和B组破膜至分娩时间明显短于C组，差异有统计学意义（P〈0．05）。3组闽的分娩方式比较差异有统计学意义（P〈0.05），A组的剖宫产率明显高于B组和C组。A组发生羊膜腔感染的风险明显高于B组和C组。A组发生新生儿肺l炎的风险明显高于B组和C组。结论未足月胎膜早破AFI≤3cm可导致剖宫产率增加和羊膜腔感染的风险，建议转入配备NICU条件的医院，促胎肺成熟治疗后及早终止妊娠。
Objective To study the influence of oligohydramnios to maternal and infant outcomes in the 28 to 34 weeks of early preterm premature rupture of the membranes. Methods A total of 52 cases of pregnant women in the hospital from January 2013 to September 2015,28 to 34 weeks of gestation because of premature rupture of membranes and delivery in the hospital were collected. According to the residual amount .the amniotic fluid index （AFI）≤3 cm as group A, the AFI〉3 cm and 45 cm as group B, the AFI ≤ 5 cm as group C. The period from rupture of membranes to delivery, delivery methods, puerpera childbirth complications and newborn pneumonia, neonatal respiratory distress syndrome, congenital.infection, neonatal anemia, neonatal jaundice, and so on of the three groups were Observed. Results The period from rupture of membranes to delivery in group A and group B were significantly shorter than the group C,the difference was statistically significant（P〈0.05）. There was a significant difference be- tween the three groups in the mode of delivery（P〈0.05）, the rate of cesarean section in group A was significantly higher than that in the group B and the group C. The risk of amniotic cavity infection m group A Was significantly higher than that in group B and group C. The risk of neonatal pneumonia in group A was significantly higher than that m group B and group C. Conclusion Early preterm premature rupture of membranes is risk factors of adverse outcome for mother and neonate. AFI≤3 cm can result in cesarean sec- tion rate increased, at the same time increase the risk of amniotic cavity infection, increase the rate of puerperal disease, increase the neonatal asphyxia. Proposal to NICU condition equipped hospital,early termination of pregnancy after promoting fetal lung maturation.
出处
《重庆医学》
CAS
北大核心
2016年第25期3498-3500,共3页
Chongqing medicine
关键词
胎膜早破
羊水过少
围生结局
fetal membranes, premature rupture
oligohydramnios
perinatal outcome
