摘要
目的分析28~31^(+6)周单胎未足月胎膜早破不同潜伏期对母胎结局的影响,为改善母胎结局提供参考。方法回顾性分析2020年1月至2021年12月在郑州大学第三附属医院分娩的28~31^(+6)周的单胎胎膜早破孕妇86例。根据胎膜早破至分娩时间这一潜伏期的治疗时长将孕妇分为3组,即A组(≤1 d,n=30例)、B组(2~3 d,n=25例)、C组(≥4 d,n=31例),比较3组的一般资料、产妇结局和胎儿结局。采用Logistic多因素回归分析影响产妇结局的危因素。结果3组间年龄及初产妇比例、分娩孕周、剖宫产、产后出血、胎盘早剖和产褥感染比例差异无统计学意义(P>0.05);而破膜孕周和临床绒毛膜羊膜炎差异有统计学意义(P<0.05),且B组和C组破膜孕周低于A组,A组和B组临床绒毛膜炎比例低于C组。B组和C组正压通气天数和支原体感染率高于A组(P<0.05)。破膜孕周和剖宫产为影响产妇不良结局的因素。结论破膜孕周小和剖宫产为影响产妇不良结局的危险因素,破膜孕周的延长和降低剖宫产率有可能降低产妇不良结局的发生率。
Objective To analyze the effects of different incubation periods of preterm premature rupture of membranes on maternal-fetal outcome of single fetus at 28-31^(+6)weeks,and to provide reference for improving maternal-fetal outcome.Methods A retrospective analysis was performed on 86 pregnant women with premature rupture of membranes in the Third Affiliated Hospital of Zhengzhou University at 28-31^(+6)weeks from January 2020 to December 2021.According to the treatment duration of the incubation period from premature rupture of membranes to delivery time,pregnant women were divided into three groups,namely group A(≤1d,n=30 cases),group B(2-3 d,n=25 cases),group C(≥4 d,n=31 cases).The general data,maternal outcomes and fetal outcomes were compared between the groups.Multivariate logistic regression was used to analyze the risk factors affecting maternal outcomes.Results There were no statistical differences in age,the proportion of primiparous parturients,gestational age,cesarean section,postpartum hemorrhage,placental prosection and puerperal infection among the three groups(P<0.05),but there were statistical differences in the gestational age with broken membranes and clinical choriitis(P<0.05).The gestational age with broken membranes in groups B and C was lower than that in group A,and the proportion of clinical choriitis in groups A and B was lower than that in group C.The positive pressure ventilation days and mycoplasma infection rate in groups B and C were higher than those in group A(P<0.05).The period of membrane rupture and uterine dissection are the factors affecting the adverse outcome of parturient women.Conclusion Small pregnancy-age rupture and cesarean section are risk factors affecting maternal adverse outcomes.Prolengthening pregnancy-age rupture and reducing cesarean section rate may reduce the incidence of maternal adverse outcomes.
作者
陶玲玲
罗晓华
王丽平
徐一鸣
TAO Lingling;LUO Xiaohua;WANG Liping;XU Yiming(Department of Obstetrics,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450000 China)
出处
《内蒙古医学杂志》
2023年第3期264-267,共4页
Inner Mongolia Medical Journal
基金
河南省自然科学基金项目(编号:2018020175)。
关键词
未足月胎膜早破
潜伏期
剖宫产
premature rupture of membranes before term
latency period
cesarean section
