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目的探讨未足月胎膜早破(PPROM)残余羊水指数与妊娠结局的关系。方法 2013年1月至2016年3月在陆军总医院住院分娩的单胎PPROM产妇共172例,根据羊水指数(AFI)分为残余羊水过少组(AFI≤5 cm)20例、偏少组(5 cm0.05)。与正常组相比,羊水量过少组新生儿窒息、低出生体重儿、1 min Apgar≤7分和新生儿呼吸窘迫综合征的危险性增加(P<0.05)。结论 PPROM残余羊水与妊娠结局关系密切,PPROM孕妇应严密监测残余羊水变化、感染及胎儿健康情况,适时终止妊娠。
Objective To investigate the relationship between residual amniotic fluid index (PPROM) residual pregnancy index and pregnancy outcome in under-term premature rupture of membranes. Methods A total of 172 single-birth PPROM mothers hospitalized in the Army General Hospital from January 2013 to March 2016 were divided into two groups according to amniotic fluid index (AFI): 20 with residual oligohydramnios (AFI≤5 cm) (5 cm 0.05). Compared with the normal group, the oligohydramnios group neonatal asphyxia, low birth weight infants, 1 min Apgar ≤ 7 points and neonatal respiratory distress syndrome risk increased (P <0.05). Conclusion PPROM residual amniotic fluid and pregnancy outcome are closely related, PPROM pregnant women should be closely monitored changes in residual amniotic fluid, infection and fetal health, timely termination of pregnancy.