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目的:分析对比不同宫颈评分的胎膜早破孕妇其破水到临产以及分娩各时间段得差异,以及宫颈评分与分娩方式的关系,为妇产科合理的处理胎膜早破病例提供依据。方法:随机选取我院2011年1月-2012年12月足月和近足月胎膜早破病例资料共200例。按宫颈评分将200例病例分成宫颈不成熟组(0-5分)及宫颈成熟组(6分及以上),对比分析宫颈评分与破水至临产时间、分娩时间、分娩方式之间的关系。结果:宫颈评分越高,破水临产时间越短,宫颈成熟组阴道顺产分娩率更高;产程差异性不明显。结论:宫颈成熟的胎膜早破孕妇能在更短的时间内临产,所以促进宫颈成熟,可缩短破水临产时间,提高阴道顺产率。
OBJECTIVE: To analyze the differences between different stages of premature rupture of membranes and different time of delivery, as well as the relationship between cervical score and mode of delivery, so as to provide evidence for the reasonable treatment of premature rupture of membranes in obstetrics and gynecology. Methods: A total of 200 cases of premature rupture of membranes in our hospital from January 2011 to December 2012 were selected randomly. According to the cervical score, 200 cases were divided into cervical immature group (0-5 points) and cervical ripening group (6 points and above), and the relationship between cervical score and breaking water to laboring time, delivery time and delivery mode were analyzed. Results: The higher the cervical score was, the shorter the break-time was. The vaginal delivery rate was higher in the cervical ripening group and the difference in labor process was not obvious. Conclusion: Pregnant women with premature rupture of membranes of cervix mature in a short period of time, so promote cervical ripening, can shorten the time of breaking water and improve vaginal delivery.