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目的:探讨胎膜早破与难产、宫内感染的关系,提出处理方法和预防原则。方法:将住院分娩产妇4896例其中胎膜早破590例作为观察组,随机胎膜未破1000例作为对照组,回顾分析胎膜早破与分娩方式。结果:胎膜早破与分娩:对照组自然分娩率显著高于观察组(P<0.01),观察组头盆不称及胎儿窘迫的发生率显著高于对照组(P<0.01)。胎膜早破与母儿并发症:观察组早产、新生儿窒息、肺炎发生率显著高于对照组(P<0.01),而与产褥病率无统计学差异(P>0.05)。结论:胎膜早破与难产、宫内感染有密切关系,应尽早预防。
Objective: To explore the relationship between premature rupture of membranes and refractory labor and intrauterine infection and put forward the treatment methods and prevention principles. Methods: 4896 maternal hospitalized delivery among them 590 cases of premature rupture of membranes as the observation group, 1000 cases of unprotected fetal membranes as a control group, retrospective analysis of premature rupture of membranes and mode of delivery. Results: Premature rupture of membranes and delivery: The spontaneous delivery rate in the control group was significantly higher than that in the observation group (P <0.01). The incidence of headache and fetal distress in the observation group was significantly higher than that in the control group (P <0.01). Premature rupture of membranes and maternal complications: The incidence of preterm birth, neonatal asphyxia and pneumonia in the observation group was significantly higher than that in the control group (P <0.01), but not significantly different from that in the control group (P> 0.05). Conclusion: premature rupture of membranes and dystocia, intrauterine infection are closely related, should be prevented as soon as possible.