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目的:探讨分析初产妇足月妊娠胎膜早破胎头高浮对分娩方式的影响及处理方法。方法:用于临床研究的100例初产足月妊娠胎膜早破胎头高浮产妇是由我院自2012年10月至2014年10月期间内收治的,将其纳为观察组,同时选取同期内的100例初产足月妊娠胎膜早破胎头入盆产妇纳为对照组,观察对比两组产妇的产程情况、分娩方式、母婴并发症情况及新生儿Apgar评分。结果:观察组产妇的第一产程潜伏期和活跃期明显长于对照组产妇,其数据比较差异具有统计学意义(P<0.05);两组产妇的第二产程潜伏期和活跃期数据比较差异无统计学意义(P>0.05);观察组产妇的剖宫产率显高于对照组产妇,其数据比较差异具有统计学意义(P<0.05);观察组产妇的母婴并发症发生率明显高于对照组产妇,其数据比较差异具有统计学意义(P<0.05);观察组新生儿的Apgar评分明显低于对照组新生儿,其数据比较差异具有统计学意义(P<0.05)。结论:初产妇足月妊娠胎膜早破胎头高浮的剖宫产率较高,且极易对新生儿造成不利影响,临床上应对此类产妇进行重点密切观察,在产前要对其头盆关系进行充分评估,并严格进行阴道试产,发生难产时应给予及时有效的处理。
Objective: To analyze the influence of preterm labor with premature rupture of fetal membranes on the mode of delivery and the treatment method. Methods: 100 cases of primiparous premature rupture of fetal membranes and high floating mothers for clinical study were enrolled in our hospital from October 2012 to October 2014, which were regarded as observation group. Meanwhile, Select 100 cases of primiparous premature rupture of fetal membranes and primiparous puerpera during the same period as the control group. The labor status, mode of delivery, maternal and neonatal complications and neonatal Apgar score were compared between the two groups. Results: The latency and active period of the first stage of labor in the observation group were significantly longer than those in the control group, and the difference was statistically significant (P <0.05). There was no significant difference between the two groups in the data of incubation and active stage of the second stage of labor (P> 0.05). The rate of cesarean section in the observation group was significantly higher than that in the control group (P <0.05). The incidence of maternal and infant complications in the observation group was significantly higher than that of the control group (P <0.05). The Apgar score of newborns in the observation group was significantly lower than that of the control group (P <0.05). The difference was statistically significant (P <0.05). Conclusions: The rate of cesarean section in primiparous premature rupture of fetal membranes of pregnant women with high fetal headaches is very high, and it is extremely apt to cause adverse effects on newborns. Clinically, such maternal women should be closely observed closely and prenatally The relationship between head basin full assessment, and strict vaginal trial production, should be given timely and effective treatment of dystocia.