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目的研究未足月胎膜早破(PPROM)孕妇的易发因素及对妊娠结局的影响,为临床治疗提供依据。方法选取2013年11月-2014年2月该院收治的胎膜早破(PROM)孕妇150例,根据是否足月将孕妇分为研究组(未足月80例)和对照组(足月70例),分析PPROM的易发因素,并观察其对妊娠结局的影响。结果研究组人工流产≥2次、胎位异常及生殖道感染的发生率显著高于对照组,差异具有统计学意义(P<0.05);多因素分析显示:人工流产≥2次、胎位异常及生殖道感染是导致PPROM的危险因素(P<0.05);研究组新生儿感染、窒息及胎儿窘迫发生率显著高于对照组,差异具有统计学意义(P<0.05);两组产妇产后出血、剖宫产及产褥感染发生率比较,差异均无统计学意义(P>0.05)。结论 PPROM与人工流产≥2次、胎位异常及生殖道感染有关,且PPROM对胎儿影响较大。
Objective To study the predisposing factors of pregnant women with incomplete premature rupture of membranes (PPROM) and their effects on pregnancy outcome, so as to provide the basis for clinical treatment. Methods 150 pregnant women with premature rupture of membranes (PROM) who were admitted to our hospital from November 2013 to February 2014 were enrolled. According to whether full-term pregnant women were divided into study group (80 cases without full-term) and control group (full-term 70 Cases), analysis of PPROM susceptibility factors, and observe its impact on pregnancy outcomes. Results The incidence of induced abortion and genital tract infection was significantly higher in the study group than in the control group (P <0.05). Multivariate analysis showed that the incidence of induced abortion was twice or more, the abnormal fetal position and reproduction (P <0.05). The incidence of neonatal infection, asphyxia and fetal distress in the study group was significantly higher than that in the control group (P <0.05). The postpartum hemorrhage, The incidence of uterine and puerperal infection, the difference was not statistically significant (P> 0.05). Conclusion PPROM and induced abortion ≥ 2 times, abnormal fetal position and reproductive tract infections, and PPROM greater impact on the fetus.