摘要
目的分析对比足月与未足月胎膜早破对母婴结局的影响。方法回顾性分析2017年1月-2018年12月该院收治的153例胎膜早破患者,根据是否为足月分为对照组(足月胎膜早破,76例)、观察组(未足月胎膜早破,77例)。对比两组产妇的临床资料及母婴结局。结果观察组产妇流产史(45.45%)、宫颈手术史(10.39%)、妊娠期高血压疾病(10.39%)、妊娠合并糖尿病(16.88%)、双胎妊娠(9.09%)、胎位异常(15.58%)、体外受精--胚胎移植(12.99%)、产妇羊膜腔感染(15.58%)、产褥感染(11.69%)、剖宫产率(32.47%)、胎儿窘迫(12.99%)、NRDS(9.09%)、新生儿肺炎(11.69%)的几率均高于对照组(26.32%、1.32%、1.32%、2.63%、0.00%、2.63%、2.63%、3.95%、2.63%、15.79%、3.95%、0.00%、2.63%),差异有统计学意义(χ^2=6.085、4.167、4.167、8.785、4.905、7.719、5.675、5.858、4.702、5.803、4.020、5.308、4.702,P=0.014、0.017、0.017、0.003、0.009、0.006、0.017、0.016、0.030、0.016、0.045、0.007、0.030);观察组产妇疤痕子宫、产后出血、脐带因素几率与对照组相比差异无统计学意义(P>0.05)。结论未足月胎膜早破的产妇流产史、宫颈手术史、妊娠期高血压疾病、妊娠合并糖尿病、双胎妊娠、胎位异常、体外受精-胚胎移植均明显高于足月胎膜早破,更容易导致产妇和新生儿出现不良妊娠结局,增加母婴围产期并发症风险,可通过采取有效措施预防,进而改善母婴结局。
Objective To analyze the effects of premature rupture of membranes in full-term and preterm months on maternal and fetal outcomes. Methods A retrospective analysis of 153 cases of premature rupture of membranes in the hospital from January 2017 to December 2018 was divided into control group(several months of premature rupture of membranes, 76 cases) and observation group according to whether it was full term,(premature rupture of fetal membranes, 77 cases). The clinical data and maternal and child outcomes of the two groups of women were compared. Results The observation group had a history of maternal abortion(45.45%), history of cervical surgery(10.39%), hypertensive disorder complicating pregnancy(10.39%), pregnancy with diabetes(16.88%), twin pregnancy(9.09%), abnormal fetal position(15.58%), in vitro fertilization-embryo transfer(12.99%), maternal amniocentesis(15.58%),puerperal infection(11.69%), cesarean section rate(32.47%), fetal distress(12.99%), NRDS(9.09%), the incidence of neonatal pneumonia(11.69%) is higher than the control group(26.32%, 1.32%, 1.32%, 2.63%, 0.00%, 2.63%, 2.63%, 3.95%, 2.63%, 15.79%,3.95%, 0.00%, 2.63%), the difference was statistically significant(χ^2=6.085, 4.167, 4.167, 8.785, 4.905, 7.719, 5.675, 5.858, 4.702,5.803, 4.020, 5.308, 4.702, P=0.014, 0.017, 0.017, 0.003, 0.009, 0.006, 0.017, 0.016, 0.030, 0.016, 0.045, 0.007, 0.030);there was no significant difference in the incidence of uterus, postpartum hemorrhage and umbilical cord between the observation group and the control group, the difference was not statistically significant(P>0.05). Conclusion Maternal abortion history, history of cervical surgery,hypertensive disorder complicating pregnancy, pregnancy with diabetes, twin pregnancy, abnormal fetal position, in vitro fertilizationembryo transfer are not significantly higher than full-term premature rupture of membranes. It is more likely to lead to adverse pregnancy outcomes in maternal and neonatal, and increase the risk of perinatal complications in mothers and infant
作者
吴梅
WU Mei(Department of Obstetrics and Gynecology,Suqian Maternity Hospital,Suqian,Jiangsu Province,223800 China)
出处
《世界复合医学》
2019年第12期111-113,共3页
World Journal of Complex Medicine
关键词
胎膜早破
足月
未足月
母婴结局
Premature rupture of membranes
Full term
Not full moon
Maternal and child outcomes
