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目的探讨胎膜早破胎盘胎膜病理改变与妊娠结局关系。方法随机抽取住院接受分娩的胎膜早破患者200例作为观察组,并选取同期分娩的非胎膜早破孕产妇200例作为对照组,检查两组孕产妇胎盘病理改变,对比两组产妇妊娠结局。结果观察组绒毛膜羊膜炎、胎盘梗死、合体结节增多、绒毛间质纤维化发生率明显高于对照组,产妇绒毛膜羊膜炎严重程度较对照组严重;观察组剖宫产率较对照组明显增加,胎儿窘迫、新生儿感染、产褥感染、围生儿死亡发生率明显高于对照组,差异具有统计学意义(P<0.05)。两组新生儿窒息率比较差异无统计学意义(P>0.05)。结论胎膜早破者胎盘胎膜病理改变显著,妊娠结局不良,需密切监测患者胎盘胎膜病理改变,及时改善妊娠不良结局。
Objective To investigate the relationship between fetal membranes premature rupture of membranes and pregnancy outcomes. Methods A total of 200 cases of premature rupture of membranes in hospitalized patients were selected as the observation group and 200 cases of non-premature rupture of membranes were selected as the control group. The pathological changes of the placenta of the two groups were examined. ending. Results The observation group chorioamnionitis, placental infarction, nodules increased, the incidence of villous interstitial fibrosis was significantly higher than the control group, the severity of chorioamnionitis than the control group serious; observation group cesarean section rate than the control group Significantly increased, fetal distress, neonatal infection, puerperal infection, perinatal mortality was significantly higher than the control group, the difference was statistically significant (P <0.05). There was no significant difference in neonatal asphyxia between the two groups (P> 0.05). Conclusion The premature rupture of membranes of fetal membranes fetal pathological changes significantly, poor pregnancy outcomes, the need to closely monitor the pathological changes of the placenta membranes in patients with timely improvement of adverse pregnancy outcomes.