【摘要】 目的探讨胎膜早破潜伏期对足月产妇分娩结局及围生儿结局的影响。方法选取2014年1月~2016年12月我院产科收治的胎膜早破患者336例作为研究对象,根据潜伏期长短将研究对象分为三组,分别为潜伏期<12 h组、12~24 h组及>24 h组,每组各112例。观察并记录三组产妇的分娩结局指标,包括剖宫产率、产道分娩率、产后出血率;比较三组围生儿结局指标的发生情况,包括新生儿窒息、新生儿呼吸窘迫、新生儿肺炎及围生儿死亡;分析胎膜早破不同潜伏期对产妇分娩结局及围生儿结局的影响。结果潜伏期<12 h组产妇的产道分娩率高于12~24 h组及>24 h组;而潜伏期>24 h组产妇的剖宫产率高于<12 h组及12~24 h组,差异均有统计学意义(P<0.05)。潜伏期>24 h组产妇的产后出血发生率高于<12 h组和12~24 h组,差异有统计学意义(P<0.05)。潜伏期>24 h组围生儿的窒息、呼吸窘迫、肺炎发生率均高于<12 h组和12~24 h组,差异有统计学意义(P<0.05)。三组围生儿的死亡率比较,差异无统计学意义(P>0.05)。结论胎膜早破潜伏期的长短对足月产妇分娩结局及围生儿结局有一定影响,尽量缩短胎膜早破潜伏期可有效降低产妇剖宫产率及产后出血的发生率,同时也可有效减少围生儿并发症的发生,改善足月产妇及围生儿的生活质量。更多还原

【Abstract】 Objective To investigate the effect of latent period of premature rupture of membranes on delivery outcome and perinatal outcome of full-term pregnant women.Methods Altogether 336 cases of patients with premature rupture of membranes who treated in our hospital from January 2014 to December 2016 were selected as subjects and were divided into three groups according to the length of incubation period: the incubation period <12 h group,12-24 h group and >24 h group respectively,with 112 cases in each group.The delivery outcome indexes were observed and recorded,including cesarean section rate,vaginal delivery rate,postpartum hemorrhage rate.The perinatal outcome indicators included neonatal asphyxia,neonatal respiratory distress,neonatal pneumonia and incidence of perinatal infant death were compared.The effect of different incubation period of premature rupture of membranes on delivery outcome and perinatal outcome of pregnant women was analyzed.Results The vaginal delivery rate of the incubation period <12 h group was higher than that of 12-24 h group and >24 h group,while the cesarean section rate of the incubation period >24 h group was higher than that of <12 h group and 12-24 h group,and the differences were statistically significant(P<0.05).The incidence rate of postpartum hemorrhage of the incubation period >24 h group was higher than that of <12 h group and 12-24 h group,and the difference was statistically significant(P<0.05).The incidence of perinatal asphyxia,respiratory distress and pneumonia in the incubation period >24 h group was higher than those of <12 h group and 12-24 h group,and the differences were statistically significant(P<0.05).Perinatal mortality rates of three groups were compared,and the differences were not statistically significant(P>0.05).Conclusion The length of the incubation period of premature rupture has a certain effect on the full-term delivery outcome and perinatal outcomes.Shortening the incubation period of premature rupture of membranes can effectively reduce the cesarean section rate and the incidence of postpartum hemorrhage,but also can effectively reduce perinatal complications and improve the quality of maternal and perinatal life.更多还原