【摘要】 目的针对胎膜早破伴新生儿感染的临床危险因素进行研究。方法随机选择2013年12月—2015年9月期间,该院收治的胎膜早破伴新生儿感染的患者60例,作为观察组,同时选择同期胎膜早破未发生新生儿感染的患者60例,作为对照组,为该研究的对象。按照不同的孕周,对两组患者胎膜早破距分娩的时间、患者胎膜早破的胎膜炎的关系、新生儿感染发生率、新生儿存活率、影响胎膜早破伴新生儿感染的临床危险因素进行分析比较。结果与对照组比较,观察组患者<34周、34~36周以及≥37周的破膜距胎儿分娩时间(78.97±6.43)、(25.46±3.26)、(23.34±1.54)h均明显高于对照组(P<0.05)。<34周新生儿感染率(33.33%)明显高于≥37周新生儿感染率(18.33%),但是<34周新生儿存活率(70.00%)显著低于≥37周新生儿存活率(90.91%),两组比较差异有统计学意义(P<0.05)。观察组患者胎膜炎的发生率为56.67%,对照组患者胎膜炎的发生率为35.00%,差异有统计学意义(P<0.05)。结论孕周越小,胎膜早破伴新生儿感染的危险性越高,而影响胎膜早破伴新生儿感染的临床危险因素主要为住院时间、尿道直管、免疫力低下、孕周、破膜时间、操作不严格等,为此需要加强对胎膜早破伴新生儿感染的临床危险因素的预防和控制,降低胎膜早破伴新生儿感染的发生率。更多还原

【Abstract】 Objective To research the clinical risk factors of premature rupture of fetal membranes with neonatal infection.Methods 60 cases of patients with fetal membranes with neonatal infection admitted and treated in our hospital from December 2013 to September 2015 were randomly selected as the observation group, 60 cases of patients with fetal membranes without neonatal infection at the same period were selected as the control group, and the time from premature rupture of fetal membranes to delivery, incidence rate of neonatal infection, survival rate of newborns, clinical risk factors of premature rupture of fetal membranes with neonatal infection of the two groups were compared and analyzed. Results The time premature rupture of fetal membranes to delivery of patients <34 weeks, 34~36 weeks and ≥ 37 weeks in the observation group was respectively(78.97±6.43)、(25.46±3.26)、(23.34±1.54)h, which was obviously higher than that in the control group, P<0.05, and the infection rate of newborns <34 weeks was obviously higher than that of newborns ≥37 weeks,(33.33% vs18.33%), but the survival rate of newborns < 34 weeks was obviously lower than that of newborns ≥37 weeks(70.00% vs90.91%), and the difference was statistically significant(P<0.05), and the difference in the incidence rate of fetal membrane inflammation between the observation group and the control group was statistically significant,(56.67% vs 35.00%)(P <0.05). Conclusion The shorter the pregnant week, the higher the risk of premature rupture of fetal membranes with neonatal infection, and the clinical risk factors of premature rupture of fetal membranes with neonatal infection are the length of stay,urethra straight tube, low immunity, pregnant week, premature rupture of fetal membranes and loose operation, therefore, we need to enhance the prevention and control of premature rupture of fetal membranes with neonatal infection thus reducing the incidence rate of it.更多还原