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目的:分析胎膜早破的高危因素、分娩方式及对妊娠结局的影响。方法:选取从2012年4月至2014年10月我院接收的发生胎膜早破的孕妇524例,回顾性分析孕妇的相关临床资料。结果:导致胎膜早破的高危因素主要为流产史、宫腔内压力增加、生殖道感染、妊娠期高血压疾病、引产史,其中双胎妊娠、羊水过多、胎儿巨大、多胎妊娠均能导致宫腔内压力增加;相对于足月胎膜早破,未足月胎膜早破阴道分娩率更低、剖宫产率更高;胎儿窘迫及新生儿窒息率比较,足月胎膜早破更低,差异均有统计学意义(P<0.05)。结论:造成胎膜早破的高危因素有很多,一旦发生胎膜早破将会对母婴造成不良的影响,在临床上应注重孕前和孕期保健,尽量减少胎膜早破的发生,并加强对胎膜早破孕妇的临床监护。
Objective: To analyze the risk factors of premature rupture of membranes, the mode of delivery and the impact on pregnancy outcome. Methods: From April 2012 to October 2014, 524 pregnant women receiving premature rupture of membranes in our hospital were retrospectively analyzed. The clinical data of pregnant women were retrospectively analyzed. Results: The risk factors leading to premature rupture of membranes were mainly abortion, intrauterine pressure, genital tract infection, gestational hypertension, induced abortion, twin pregnancy, polyhydramnios, huge fetus and multiple pregnancy Leading to increased intrauterine pressure; relative to full-term premature rupture of membranes, preterm premature rupture of membranes vaginal delivery rate is lower, cesarean section rate higher; fetal distress and neonatal asphyxia compared with full-term premature rupture of membranes Broken lower, the differences were statistically significant (P <0.05). Conclusion: There are many risk factors for premature rupture of membranes. Once a premature rupture of membranes, premature rupture of membranes will have an adverse effect on the mother and the infant. Preclinical and prenatal care should be emphasized clinically to minimize premature rupture of membranes and to strengthen Premature rupture of membranes pregnant women’s clinical monitoring.