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目的探讨未足月胎膜早破(PPROM)合并下生殖道感染对母婴结局的影响。方法选取46例PPROM患者宫颈分泌物培养有菌生长者为研究组,62例培养无菌者为对照组,比较其母婴结局。结果研究组产后出血、产褥感染和绒毛膜羊膜炎发生率分别为23.91%(11/46)、15.22%(7/46)和6.52%(3/46),对照组分别为14.52%(9/62)、16.13%(10/62)和17.74%(11/62),两组比较,差异无统计学意义(P>0.05)。研究组新生儿肺炎和死亡率分别为10.87%(5/46)和2.17%(1/46),对照组分别为12.90%(8/62)和4.84%(3/62),两组比较,差异无统计学意义(P>0.05)。结论未足月胎膜早破合并下生殖道感染在积极抗感染及期待治疗下,未增加孕产妇和围生儿的发病率。
Objective To investigate the effect of incomplete premature rupture of membranes (PPROM) combined with genital tract infection on maternal and infant outcomes. Methods Forty-six patients with cervical secretions of PPROM were selected as study group and 62 cases of sterile culture as control group to compare their maternal and infant outcomes. Results The incidences of postpartum hemorrhage, puerperal infection and chorioamnionitis were 23.91% (11/46), 15.22% (7/46) and 6.52% (3/46) respectively in the study group and 14.52% (9) in the control group /62),16.13% (10/62) and 17.74% (11/62) respectively. There was no significant difference between the two groups (P> 0.05). The neonatal pneumonia and mortality rates in the study group were 10.87% (5/46) and 2.17% (1/46) respectively, while those in the control group were 12.90% (8/62) and 4.84% (3/62) respectively. The difference was not statistically significant (P> 0.05). Conclusions The undeveloped premature rupture of membrane and lower genital tract infection did not increase the incidence of maternal and perinatal infections with active anti-infective and expectant treatment.