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目的 :探讨胎膜早破与难产及母儿并发症的关系。方法 :对 1692例无妊娠合并症及并发症的产妇资料进行回顾性分析 ,其中胎膜早破病例 3 2 4例 ,胎膜未破病例 13 68例作为对照组。结果 :胎膜早破组的剖宫产率、早产率、新生儿窒息及肺炎发病率均较对照组显著升高 ,母亲产褥病率两组间无差异。破膜距妊娠结束时间及早产与新生儿窒息及肺炎关系密切。结论 :胎膜早破与难产互为因果关系。对不同孕周胎膜早破患者应采取不同治疗方案 ,以尽可能减少母儿并发症。
Objective: To investigate the relationship between premature rupture of membranes and labor and maternal complications. Methods: The data of 1692 maternal complications without complications and complications were retrospectively analyzed. Among them, 324 cases of premature rupture of membranes and 1368 cases of unruptured membranes were taken as control group. Results: The rate of cesarean section, premature birth rate, neonatal asphyxia and pneumonia in premature rupture of membranes group were significantly higher than those in control group. There was no difference between the two groups in maternal puerperal rate. Broken membrane from the end of pregnancy and premature birth and neonatal asphyxia and pneumonia are closely related. Conclusion: Premature rupture of membranes and dystocia each cause and effect. Different gestational weeks premature rupture of membranes should take different treatment options to minimize maternal and child complications.