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目的:探讨120例胎膜早破(PROM)的临床特点及与妊娠结局的关系。方法:对2012年12月~2013年12月120例PROM的孕妇的临床资料进行回顾性分析,并以同期分娩的380例无PROM的孕妇作为对照组。分析不同分娩方式对产妇和儿童的影响。结果:PROM组的难产、剖宫产率分别为45.0%、43.3%,均明显高于对照组,差异有统计学意义(P<0.05)。PROM组中的早产、新生儿窒息、新生儿肺炎的发病率分别为11.7%、7.5%、4.2%,与对照组相比均明显增高(P<0.05);两组产褥感染的发病率差异无统计学意义(P>0.05)。结论:PROM与难产、早产密切相关,对PROM的孕妇应加强临床观察,对不同孕周的PROM采取不同的治疗方案,一旦有难产发生应及时处理,以减少母婴并发症的发生。
Objective: To investigate the clinical features of 120 cases of premature rupture of membranes (PROM) and its relationship with pregnancy outcome. Methods: The clinical data of 120 PROM pregnant women from December 2012 to December 2013 were analyzed retrospectively. 380 pregnant women without PROM during the same period were selected as the control group. Analyze the effects of different modes of delivery on mothers and children. Results: The rates of dystocia and cesarean section in PROM group were 45.0% and 43.3%, respectively, which were significantly higher than those in control group (P <0.05). The incidence of preterm birth, neonatal asphyxia and neonatal pneumonia in PROM group were 11.7%, 7.5% and 4.2% respectively, which were significantly higher than those in control group (P <0.05). The incidence of puerperal infection in both groups was significantly lower than that in control group No statistical significance (P> 0.05). CONCLUSIONS: PROM is closely related to dystocia and preterm labor. Pregnant women with PROM should strengthen their clinical observation. Different treatment regimens should be taken for PROM in different gestational weeks. Once there is dystocia, timely treatment should be taken to reduce the incidence of maternal and infant complications.