摘要
目的分析胎膜早破破水临产时间与宫颈评分的关系,分析宫颈成熟程度及不同引产方法对胎膜早破分娩母婴结局的影响。方法 2014年2月至2016年8月期间收治的300例胎膜早破孕妇纳入研究,按孕妇及其家属意向选择等待8~12 h后引产的90例患者纳入对照组,将自愿进行立即引产的210例孕妇纳入观察组,又按宫颈成熟度将观察组分为成熟组(110例)和不成熟组(100例)。对比不成熟组和成熟组破水临产时间,用等级相关行分析法分析破水临产时间与宫颈评分的关系;对比观察组与对照组分娩方式、羊水浑浊发生情况;记录并发症。结果观察组中宫颈成熟组破水临产时间(9.06±1.03 h)短于不成熟组(13.34±2.40 h);观察组患者中破水临产时间与宫颈评分呈负相关关系(rs=-2,P=0.028);观察组产程用时(8.75±2.01 h)短于对照组(11.21±2.13 h);观察组中成熟组产程(8.22±1.84 h)短于不成熟组(10.45±2.49 h),观察组中成熟组羊水浑浊发生率低于不成熟组和对照组,观察组中成熟组阴道分娩率(78.18%)高于不成熟组(59.00%)和对照组(67.78%);观察组新生儿围生期并发症发生率(6.36%)和产妇并发症发生率(8.18%)均低于对照组(15.56%,24.24%)。结论(1)宫颈评分与胎膜早破破水临产时间呈负相关;(2)宫颈成熟的患者破水临产时间更短,促进宫颈成熟能缩短破水至临产时间,提高阴道分娩率;(3)宫颈成熟度是指导胎膜早破引产方式的重要指标。
Objective To analyze the relationship between the time of premature rupture of fetal membranes and the cervical score,and to analyze the effect of cervical maturation and different induction methods on maternal and fetal outcomes of premature rupture of membranes.Methods From February 2014 to August 2016,300 patients with premature rupture of membranes were enrolled in the study.According to the intention of pregnant women and their families,90 patients who received 8 to 12 h after induction were included in the control group and spontaneously Of the 210 cases of pregnant women were included in the observation group,and the observation group was divided into mature group （110 cases） and immature group （100 cases） according to the degree of cervical maturity.Compared with the control group and the observation group,the occurrence of amniotic fluid turbidity and the complication were recorded.The relationship between the time of labor and the cervical scale was analyzed by grade correlation analysis.Results The time of labor in the mature group （9.06＆#177;1.03 h） was shorter than that in the immature group （13.34＆#177;2.40 h）.There was a negative correlation between the time of labor in the observation group and the cervical score （rs=-2,P=0.028.The labor time in the observation group （8.22＆#177;1.84 h） was shorter than that in the immature group （10.45＆#177;2.49 h）,and the observation group （8.25＆#177;2.01 h） was shorter than the control group （11.21＆#177;2.13 h）.Vaginal delivery rate （78.18%） in the mature group was higher than that in the immature group （59.00%） and the control group （67.78%）.The incidence of neonatal infection in the neonatal group was significantly higher than that in the non-mature group and the control group The incidence of complications （6.36%） and the incidence of maternal complications （8.18%） in observation group were lower than those of the control group （15.56%,24.24%）.Conclusion ①Cervical score is negatively corr
出处
《临床和实验医学杂志》
2017年第13期1328-1331,共4页
Journal of Clinical and Experimental Medicine
关键词
胎膜早破
宫颈评分
引产
分娩结局
Premature rupture of membranes
Cervical score
Induction
Labor delivery outcome
