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目的探讨胎膜早破的发病因素和母婴并发症以及临床处理策略。方法对2010年2月～2011年2月期间188例胎膜早破的临床病例特点进行回顾性分析,并随机抽取同期正常分娩的200例作为对照组。结果病因方面胎膜早破组感染、胎位异常、头盆不称、宫颈内口松驰、子宫畸形等明显高于对照组;妊娠结局方面胎膜早破组剖宫产、早产、产后出血、产褥感染、新生儿窒息、新生儿肺炎等明显高于对照组。结论胎膜早破发病因素有自身特点,与难产互为因果,而且增加母婴的并发症,对不同特点的胎膜早破应采取不同的治疗方法。
Objective To explore the incidence of premature rupture of membranes and maternal and child complications and clinical management strategies. Methods The clinical features of 188 cases of premature rupture of membranes from February 2010 to February 2011 were retrospectively analyzed. 200 cases of normal delivery at the same period were randomly selected as the control group. Results Etiology of premature rupture of membranes group infection, abnormal fetal position, cephalopelvic disproportion, cervix cervix relaxation, uterine malformations were significantly higher than the control group; pregnancy outcome in premature rupture of membranes caesarean section, premature delivery, postpartum hemorrhage, Puerperal infection, neonatal asphyxia, neonatal pneumonia were significantly higher than the control group. Conclusion The incidence of premature rupture of membranes has its own characteristics of the risk factors, and dystocia each cause and effect, but also increase the complications of mother and child, different characteristics of premature rupture of membranes should take a different treatment.