早产胎膜早破孕妇分娩结局及对新生儿影响.docVIP

早产胎膜早破孕妇分娩结局及对新生儿影响 　　[摘要] 目的 探讨早产胎膜早破孕妇分娩结局及新生儿的影响。方法 选择2013年4月―2016年6月该院诊治的86例早产胎膜早破孕妇为研究对象，同期选择早产胎膜未破者及同期正常足月分娩孕妇为对照组，分别定义为研究组，对照组A、对照组B，分析3组孕妇的母婴结局。结果 研究组剖宫产、产后出血及产褥期感染发生率依次为60.4%、19.7%、7.0%，对照组A依次是43.3%、13.3%、7.0%，均显著高于对照组B（26.4%、2.9%、0.0%），且研究组剖宫产率最高，组间差异有统计学意义（P0.05）；研究组新生儿窒息、肺损伤、感染及肺炎发生率依次是17.4%、31.3%、9.3%、12.7%，对照组A依次为13.3%、21.7%、6.7%、10.0%，均显著高于对照组B（2.9%、1.4%、0.0%、1.4%），且研究组新生儿肺损伤生率最高，组间差异有统计学意义（P0.05）。 结论 早产胎膜早破孕妇 剖宫产、产后出血 产褥期感染等发生率较高，且新生儿窒息、肺损伤、感染、肺炎等发生可能性较正常足月儿、早产儿概率大，临床应予以重视，及早诊断进行相应治疗。 　　[关键词] 早产；胎膜早破；分娩结局；新生儿结局 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）04（c）-0052-03 　　[Abstract] Objective To discuss the delivery outcome of delivery women with preterm premature rupture of membranes and effect on newborns. Methods 86 cases of delivery women with preterm premature rupture of membranes diagnosed in our hospital from April 2013 to June 2016 were conveniently selected as the research group， and the delivery women without preterm premature rupture of membranes and full-term delivery were selected as the control A group and control B group， and the maternal and infant outcomes of the three groups were analyzed. Results The incidence rate of cesarean section， postpartum hemorrhage and puerperium infection in the research group and in the control A group were obviously higher than those in the control B group（60.4%，19.7%，7.0% vs 43.3%，13.3%，7.0% vs 26.4%，2.9%，0.0%）， and the cesarean section rate in the research group was the highest， and the differences between groups were obvious（P0.05）， and the incidence rate of asphyxia neonatorum， lung injury， infection and pneumonia in the research group and in the control A group were obviously higher than those in the control B group（17.4%，31.3%，9.3%，12.7% vs 13.3%，21.7%，6.7%，10.0% vs 2.9%，1.4%，0.0%，1.4%）， and the incidence rate of lung injury of newborns was the highest， and the differences between groups were obvious（P0.05）. Conclusion The incidence rate of cesarean section， postpartum hemorrhage and obstetric