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目的探讨未足月胎膜早破(PPROM)后残余羊水指数(AFI)对妊娠结局及新生儿的影响。方法选取2015年1月-2016年11月在该院就诊的723例PPROM患者,根据AFI值将患者分为A组(AFI≤40 mm,201例)和B组(AFI>40 mm,522例),均给予抗感染、抑制宫缩等处理,观察两组产妇妊娠结局及新生儿情况。结果 A组和B组产妇年龄、破膜时孕周及剖宫产比例比较差异无统计学意义(P>0.05);A组破膜至分娩时间为(71.29±12.20)h,明显短于B组(P<0.05);A组和B组新生儿出生体重差异比较无统计学意义(P>0.05);A组新生儿Apgar评分为(7.94±1.41)分,明显低于B组(P<0.05);A组新生儿窒息、围生期感染、新生儿死亡和胎儿宫内窘迫的比例分别为14.93%、30.85%、5.47%和18.91%,明显高于B组(P<0.05)。结论 PPROM后AFI≤40 mm时,新生儿窒息、胎儿宫内窘迫等不良情况明显增加,故PPROM后残余羊水量评估是围产期监护的重要指标之一。
Objective To investigate the effect of residual amniotic fluid index (AFI) on pregnancy outcome and neonates after incomplete premature rupture of membranes (PPROM). Methods A total of 723 patients with PPROM were enrolled in this hospital from January 2015 to November 2016. Patients were divided into group A (AFI≤40 mm, 201 cases) and group B (AFI> 40 mm, 522 cases ) Were given anti-infection, inhibition of contractions and other treatment, observation of the two groups of maternal pregnancy outcomes and neonatal conditions. Results There was no significant difference in gestational age and cesarean section between group A and group B (P> 0.05). The time between rupture and delivery in group A was (71.29 ± 12.20) h, which was significantly shorter than that of group B (P <0.05). There was no significant difference in birth weight between newborns in group A and group B (P> 0.05). Apgar score in newborns in group A was (7.94 ± 1.41) points lower than that in group B (P < 0.05). The proportions of neonatal asphyxia, perinatal infection, neonatal death and fetal distress in group A were 14.93%, 30.85%, 5.47% and 18.91%, respectively, which were significantly higher than those in group B (P <0.05). Conclusion After PPROM AFI ≤ 40 mm, neonatal asphyxia, fetal distress and other adverse conditions increased significantly, so the residual amniotic fluid after PPROM assessment is one of the important indicators of perinatal monitoring.