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目的探讨胎膜早破对母儿的影响。方法回顾性分析726例单胎妊娠无任何合并症及并发症的产妇资料,其中胎膜早破病例136例作为研究组,胎膜未破病例590例作为对照组。结果胎膜早破组其剖宫产、阴道助产、早产、胎儿宫内窘迫、新生儿窒息、新生儿肺炎及产褥感染的发生率均显著高于对照组(P<0.001)。破膜距分娩时间及早产与胎儿宫内窘迫、新生儿窒息、新生儿肺炎关系密切,且破膜时间越长产褥感染率越高。结论胎膜早破易导致难产、早产、胎儿宫内窘迫、新生儿窒息及感染。对不同孕周的胎膜早破产妇应采取不同的治疗方案,以减少母儿并发症。
Objective To investigate the impact of premature rupture of membranes on maternal and child. Methods A retrospective analysis of 726 singleton pregnancies without any complications and complications of maternal information, of which 136 cases of premature rupture of membranes as a research group, 590 cases of unruptured membranes as a control group. Results The incidence of cesarean section, vaginal delivery, premature labor, fetal distress, neonatal asphyxia, neonatal pneumonia and puerperal infection in premature rupture of membranes group were significantly higher than those in control group (P <0.001). Rupture of membranes and childbirth time and premature delivery of fetal distress, neonatal asphyxia, neonatal pneumonia are closely related, and rupture of membranes longer puerperal infection rate. Conclusion Premature rupture of membranes leads to dystocia, premature labor, fetal distress, neonatal asphyxia and infection. Maternal premature rupture of membranes for different gestational weeks should adopt different treatment options to reduce maternal and child complications.