胎膜早破引产时限的临床观察研究张敏宗.docxVIP

胎膜早破引产时限的临床观察研究张敏宗 张敏宗 (锦江区妇幼保健院妇产科四川成都610021) 【摘要】目的：观察分析胎膜早破产妇不同引产时限下的分娩结局，寻求 安全科学的胎膜早破引产方案。方法：选取2014年8月?2015年10月入院的 80例足月胎膜早破产妇，随机均分为12小时引产组(A组)、24小时引产组(B 组)，同等条件下实施引产，对比2组产妇自然临产、阴道分娩、用药前宫颈成 熟状况及母婴结局。结果：A组产妇阴道分娩23例、自然临产14例；B组产妇 阴道分娩29例、自然临产27例，B组阴道分娩率及自然临产率均显著高于A组 (PV0.05)。A组产妇25例未临产、用药前宫颈评分相比入院时提升匪;3分15 例，提升率60%； B组产妇口例未临产，用药前宫颈评分相比入院时提升ge;3 分9例，提升率81.9%,宫颈评分改善幅度大于A组(P0.05)o A组出现胎儿 窘迫1例、产后出血1例，未见宫内感染；B组胎儿窘迫1例，未见宫内感染及 产后出血，对比无差异(P0.05)o结论：临床上应积极推荐胎膜早破24h引产， 以提高自然临产、阴道分娩率，改善宫颈评分，利于母婴健康。 【关键词】胎膜早破；引产时限；临床观察 【中图分类号】R714 【文献标识码】A 【文章编号】2095-1752 (2016) 24-0055-02 Premature rupture of membranes induced labor time limit of clinical study Zhang Minzong. Maternal and Child Health Care Hospital of Jinjiang District, Chengdu City, Sichuan Provinee, Chengdu 610021, China 【Abstract] Objective to analyze the puerpera childbirth under different induced labor time limit, safety scienee and premature rupture of membranes of induced premature rupture 12 hours induced labor group (group A), 24 hours of induced labor group (group B), and outcomes. Results 23 cases of maternal vaginal delivery group A, natural labor 14 cases; B group of 29 cases of maternal vaginal delivery, natural labor 27 cases, group B vaginal births of group A (Plt;0.05). A group of 25 cases of maternal compared before labor, cervical score on admission ascension or 3 points, 15 cases rate 60%; 11 cases of maternal labor; three points 9 or higher, increase rate of 81.9%, than the group A (Plt;0.05). In group A, 1 case of fetal distress and postpartum hemorrhage in 1 case, compared with no d iff ere nee (Pgt;0.05). Conclusion clinical should actively recommend 24 h induced labor, premature rupture of membranes in order improve the cervical score, maternal and child health. [key words] Premature rupture of membranes; Induced labor time limit; Clinical observation 胎膜早破是临产妇常见的并发症之一，近年来发病率呈明显升高趋势，其发 生进展对产妇难产、意外感染、胎儿窘迫、产后出血等不良妊娠事件的影响越来 越强，亟待临床合理给予一套科学、安全、高效的引产方案，以改善产妇预后[1]。 目前，临床尚没有明确而统一的胎膜早破引产认识，临床工作者多参照一定的资 料、凭借自身