臀位单胎未足月胎膜早破的临床特点和妊娠结局.docVIP

臀位单胎未足月胎膜早破的临床特点和妊娠结局 　　[摘要]目的 探讨臀位单胎未足月胎膜早破的临床特点和妊娠结局。方法 选取本院2014年1月～2015年12月的60例臀位单胎未足月胎膜早破产妇作为研究组，随机抽取同期的60例头位单胎未足月胎膜早破产妇作为对照组。比较两组终止妊娠的孕周及胎膜早破发生的时间、早产率、妊娠结局等指标。结果 研究组的胎膜早破时间为（33.8±2.3）孕周，显著短于对照组的（35.4±1.7）周，差异有统计学意义（P0.05）。结论 臀位妊娠合并胎膜早破的早产儿、胎儿窘迫及新生儿窒息、羊水过少发生率较高，能够增加剖宫产率，且新生儿预后较差，应积极预防处理。 　　[关键词]臀位妊娠；未足月胎膜早破；早产 　　[中图分类号] R714.43+3 [文献标识码] A [文章编号] 1674-4721（2016）06（b）-0066-03 　　Clinical feature and pregnancy outcome of premature rupture of the membrane of single fetal breech pregnancy 　　HUANG Xiao-juan TANG Juan 　　Department of Gynaecology and Obstetrics，the Third People′s Hospital of Huizhou City in Guangdong Province，Huizhou 516001，China 　　[Abstract]Objective To explore the clinical feature and pregnancy outcome of premature rupture of the membrane of single fetal breech pregnancy.Methods 60 puerperae of premature rupture of the membrane of single fetal breech pregnancy from January 2014 to December 2015 in our hospital were selected as the study group，and 60 puerperae of premature rupture of the membrane of single fetal head position pregnancy at the same period in our hospital were selected as the control group.The indicators of the pregnant week of pregnancy termination and premature rupture of membrane time，premature birth rate，pregnancy outcome and so on in the two groups was compared.Results The time of premature rupture of membrane in the study group was （33.8±2.3） pregnant weeks，which was shorter than （35.4±1.7） pregnant weeks in the control group，with significant difference （P0.05）.Conclusion The incidence rate of preterm，fetal distress and neonatal asphyxia，hypamnion in the breech pregnancy with premature rupture of the membrane is higher，which can increase the rate of cesarean section and neonatal prognosis is poor，it should be positive prevention and treatment. 　　[Key words]Breech pregnancy；Preterm premature rupture of membrane；Premature birth 　　臀位妊娠是产科常见的异常胎位，占妊娠的3%～4%，国外的研究显示，其围生儿死亡率是头位妊娠的5.5倍。妊娠期间容易出现胎膜早破、脐带脱垂、早产、胎儿窘迫、新生儿窒息、产伤等并发症[1]