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目的:对于基层医疗机构产科对于胎膜早破的方法和疗效进行探讨和研究,以期引起医学研究工作者和临床实践工作者的相应思考,并提供一定得借鉴。方法:采取回顾性调查研究方法,对于我院2012年1月~2014年12月2年间收治住院的98例出现胎膜早破的孕妇最为研究对象,并且随机抽取我院2012年1月~2014年12月2年间收治住院、未出现胎膜早破的孕妇100例作为对照组,对于两组数据进行分析、比较和研究。结果:对于研究组孕妇和对照组孕妇的妊娠情况进行研究后可发现,研究组孕妇顺产的比率72.44%低于对照组孕妇89%,而接受阴道助产比率5.26%、新生儿窒息比率32.65%、剖宫产率22.14%则高于对照组孕妇的阴道助产比率2%、新生儿窒息比率9%、剖宫产率9%。数据差异较为显著,具有统计学意义(P<0.05)。结论:对于基层医院的妇产科而言,及时、准确的处理胎膜早破,可以显著降低孕产妇的剖宫产率和难产率,最大程度的保障孕产妇的生命健康安全,对于提高我国医疗卫生单位的母婴保健服务水平有着极为重要的意义。
OBJECTIVE: To explore and study the methods and effects of obstetric treatment of premature rupture of membranes in primary medical institutions in order to arouse the medical researchers and clinical practice workers, and provide some reference. Methods: A retrospective study was conducted to investigate the prevalence of premature rupture of membranes in 98 pregnant women who were hospitalized in our hospital from January 2012 to December 2014 in our hospital from January 2012 to December 2014. We randomly selected our hospital from January 2012 to 2014 In December 2 years admitted to hospital, did not appear 100 cases of premature rupture of membranes as a control group, for two sets of data analysis, comparison and research. Results: The pregnant women in the study group and the control group pregnant women pregnancy study found that the proportion of pregnant women in the study group, 72.44% lower than 89% pregnant women in the control group, while receiving vaginal delivery rate of 5.26%, newborn asphyxia rate of 32.65% , Cesarean section rate was 22.14%, which was higher than that of control group. The rate of vaginal midwifery was 2%, neonatal asphyxia rate was 9% and cesarean section rate was 9%. The difference was statistically significant (P <0.05). Conclusion: Obstetrics and gynecology for primary hospitals, timely and accurate treatment of premature rupture of membranes, can significantly reduce maternal cesarean section rate and dystocia rate, to maximize the protection of maternal health and safety of life and health for improving our country The level of maternal and child health services of medical and health units is of great importance.