胎膜早破的临床处理与母儿预后的探讨(1)
【摘要】 目的：探讨胎膜早破的临床处理与母儿预后及处理方法。方法：选取了2013年3-5月本院产科临床分娩孕妇188例，其中未胎膜早破104例设为对照组，胎膜早破孕妇84例设为观察组，入院后对两组孕妇进行常规阴道检查，观察羊水性状，根据不同情况适时引产和感染预防，同时对两组孕妇分娩情况、母婴预后等情况进行观察比较。结果：比较两组孕妇分娩及预后情况，其中观察组孕妇中难产11例，难产率为13.1%，新生儿窒息4例，发生率为4.7%；对照组中难产9例，难产率为8.6%，新生儿窒息2例，发生率为1.9%。母婴预后结果中观察组在新生儿窒息、胎儿窘迫以及产褥感染发生率上均高于对照组，两组比较差异均有统计学意义(P<0.05)。结论：临床上胎膜早破孕妇具有较高的难产风险，且新生儿窒息发生率高，对此需要在临床上加强监护，从而减少母婴损伤。
【关键词】 胎膜早破； 难产； 新生儿窒息； 关系
【Abstract】 Objective：To investigate the clinical treatment and prognosis of mother and child for premature rupture of membranes.Method：188 cases of obstetric pregnant women in our hospital from March 2013 to May 2013 were selected and divided into two groups，among them 104 cases without premature rupture of membranes were selected as control group，the other 84 cases with premature rupture of membranes were selected as the observation group.Routine vaginal examination was given to the two groups of pregnant women，the character of amniotic fluid was observed，according to different circumstances induced labor and infection prevention were given to the two groups of pregnant women at a appropriate time，at the same time the condition of delivery，prognosis of maternal and neonatal were observed and compared between the two groups.Result：The conditions of delivery and prognosis between the two groups were compared.The rate of dystocia，asphyxia neonatorum，fetal distress and puerperal infection in the observation group were higher than that of the control group.The differences were statistically significant(P<0.05).Conclusion：The pregnant women with premature rupture of membranes have higher risk of dystocia and neonatal asphyxia，it needs to strengthen monitoring in clinical practice，so as to reduce maternal injury.
, http://www.100md.com
【Key words】 Premature rupture of membranes； Dystocia； Asphyxia neonatorum； Relationship
First-author’s address：The Second MCH of Huizhou City，Huizhou 516000，China
doi：10.3969/j.issn.1674-4985.2015.17.049
临床上，胎膜早破属于产科产前常见并发症之一，它是指在临产前孕妇胎膜自然破裂的现象，发生率国外报道为5%～15%，国内为2.7%～7%。易对孕妇及胎儿造成严重的影响和不良后果(如早产、产褥感染、新生儿窒息、脐带脱垂、受压及难产等)[1]。本次研究中，选取了2013年3-5月本院产科临床分娩孕妇共188例，重点探讨了胎膜早破与难产之间的关系及其处理方法。相关研究结果报道如下。
, 百拇医药
1 资料与方法
1.1 一般资料 选取了2013年3-5月本院产科临床分娩孕妇188例，其中84例胎膜早破的孕妇为观察组，年龄20～39岁，平均(28.3±1.8)岁，孕周34～42周，平均(37.5±1.5)周；同时无胎膜早破的健康孕妇104例为对照组，年龄18～40岁，平均(20.3±2.4)岁，孕周36～42周，平均(38.2±1.4)周。两组研究对象的一般资料比较差异无统计学意义(P>0.05)，具有可比性。
1.2 诊断标准 胎膜早破的临床诊断依据《妇产科学》(第8版全国统编教材)进行分析[2]。难产的诊断参照《实用妇产科学》[3]。
1.3 方法
1.3.1 诊断方法 所有孕妇均定期到院进行常规检查，其中胎膜早破临床诊断及表现为孕妇产前阴道突然有较多液体流出，且在腹压增加和上推胎先露时阴道流出液增多，阴道检查时阴道有少量、间断性液体排出，阴道液pH值测定，阴道液涂片检查等[4-5]。, http://www.100md.com(贺艳 谢静雅 詹凤书)
【关键词】 胎膜早破； 难产； 新生儿窒息； 关系
【Abstract】 Objective：To investigate the clinical treatment and prognosis of mother and child for premature rupture of membranes.Method：188 cases of obstetric pregnant women in our hospital from March 2013 to May 2013 were selected and divided into two groups，among them 104 cases without premature rupture of membranes were selected as control group，the other 84 cases with premature rupture of membranes were selected as the observation group.Routine vaginal examination was given to the two groups of pregnant women，the character of amniotic fluid was observed，according to different circumstances induced labor and infection prevention were given to the two groups of pregnant women at a appropriate time，at the same time the condition of delivery，prognosis of maternal and neonatal were observed and compared between the two groups.Result：The conditions of delivery and prognosis between the two groups were compared.The rate of dystocia，asphyxia neonatorum，fetal distress and puerperal infection in the observation group were higher than that of the control group.The differences were statistically significant(P<0.05).Conclusion：The pregnant women with premature rupture of membranes have higher risk of dystocia and neonatal asphyxia，it needs to strengthen monitoring in clinical practice，so as to reduce maternal injury.
, http://www.100md.com
【Key words】 Premature rupture of membranes； Dystocia； Asphyxia neonatorum； Relationship
First-author’s address：The Second MCH of Huizhou City，Huizhou 516000，China
doi：10.3969/j.issn.1674-4985.2015.17.049
临床上，胎膜早破属于产科产前常见并发症之一，它是指在临产前孕妇胎膜自然破裂的现象，发生率国外报道为5%～15%，国内为2.7%～7%。易对孕妇及胎儿造成严重的影响和不良后果(如早产、产褥感染、新生儿窒息、脐带脱垂、受压及难产等)[1]。本次研究中，选取了2013年3-5月本院产科临床分娩孕妇共188例，重点探讨了胎膜早破与难产之间的关系及其处理方法。相关研究结果报道如下。
, 百拇医药
1 资料与方法
1.1 一般资料 选取了2013年3-5月本院产科临床分娩孕妇188例，其中84例胎膜早破的孕妇为观察组，年龄20～39岁，平均(28.3±1.8)岁，孕周34～42周，平均(37.5±1.5)周；同时无胎膜早破的健康孕妇104例为对照组，年龄18～40岁，平均(20.3±2.4)岁，孕周36～42周，平均(38.2±1.4)周。两组研究对象的一般资料比较差异无统计学意义(P>0.05)，具有可比性。
1.2 诊断标准 胎膜早破的临床诊断依据《妇产科学》(第8版全国统编教材)进行分析[2]。难产的诊断参照《实用妇产科学》[3]。
1.3 方法
1.3.1 诊断方法 所有孕妇均定期到院进行常规检查，其中胎膜早破临床诊断及表现为孕妇产前阴道突然有较多液体流出，且在腹压增加和上推胎先露时阴道流出液增多，阴道检查时阴道有少量、间断性液体排出，阴道液pH值测定，阴道液涂片检查等[4-5]。, http://www.100md.com(贺艳 谢静雅 詹凤书)