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未足月胎膜早破的易发因素及其妊娠结局观察 被引量:5

Analysis of risk factors preterm premature rupture of membranes and its mother-infant outcome
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摘要 目的分析未足月胎膜早破(PPROM)的易发因素及对母婴结局的影响。方法选择2015年8月~2016年8月本院收治的PPROM患者80例为观察组,另选同期于本院分娩的65例正常产妇作为对照组。回顾性分析两组临床资料,分析PPROM的易发因素,比较两组母婴结局。结果观察组阴道炎、瘢痕子宫、胎位异常等发生率较对照组明显升高,差异有统计学意义(P<0.05);观察组剖宫产率、产褥感染率、产后出血率及新生窒息、新生儿肺炎发生率均明显高于对照组,差异有统计学意义(P<0.05)。结论 PPROM的易发因素包括阴道炎、瘢痕子宫、人工流产史、胎位异常及妊高征/糖尿病;PPROM增加剖宫产率,在一定程度上导致产褥感染、产后出血等并发症,影响新生儿结局。 Objective To analyze the risk factors of preterm premature rupture of membranes(PPROM)and its effect on mother-infant outcome.Methods 80 PPROM patients in our hospital from August 2015 to August 2016 were selected as observation group,and 65 normal pregnant women with delivery were selected as control group.The clinical data of two groups were retrospectively analyzed.The risk factors of PPROM were analyzed,and the mother-infant outcome of two groups were compared.Results The incidence of vaginitis,scar uterus,abnormal presentation in observation group increased compared with control group(P<0.05);The cesarean section rate,rate of puerperal infection,rate of postpartum bleeding,incidence of neonatal asphyxia and neonatal pneumonia in observation group were higher than those in control group(P<0.05).Conclusion The risk factors of PPROM include vaginitis,scar uterus,induced abortion history,abnormal presentation,pregnancy-induced hypertension or diabetes;PPROM could increase cesarean section rate,cause puerperal infection and postpartum bleeding,affect neonatal outcome.
作者 罗芸 Luo Yun(Department of Gynaecology and Obstetrics,Maternal and Child Health Hospital in Jiujiang,Jiujiang,Jiangxi,332000,China)
出处 《当代医学》 2018年第11期54-56,共3页 Contemporary Medicine
关键词 未足月胎膜早破 易发因素 母婴结局 Preterm premature rupture of membranes Risk factors Mother-infant outcome
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