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目的探讨足月妊娠胎膜早破至分娩的时间干预对母婴结局的影响。方法选择2008年12月~2013年5月本院收治的足月妊娠胎膜早破产妇306例为研究对象,按照产妇妊娠胎膜早破至分娩的时间间隔将其分为三组,A组146例,时间间隔为<12 h;B组95例,时间间隔为12~24 h;C组65例,时间间隔为>24 h。统计分析比较各组产妇的妊娠结局、新生儿结局。结果研究结果显示,C组产妇剖宫产率、绒毛膜羊膜炎、产褥感染的发生率明显高于A、B组(P<0.05),且C组产妇的产后住院时间较A、B组显著延长(P<0.05)。C组新生儿1min Apgar评分≤7分的发生率、住院率明显高于A、B组(P<0.05)。结论对于足月妊娠胎膜早破的产妇应给予适时的干预治疗,缩短破膜至分娩的时间,从而改善母婴结局。
Objective To investigate the effect of premature rupture of membranes from premature rupture of pregnancy to delivery time on maternal and infant outcome. Methods 306 cases of premature rupture of membranes of premature rupture of membranes in our hospital from December 2008 to May 2013 were divided into three groups according to the time interval between premature rupture of membranes and delivery. 146 cases, the interval was <12 h; 95 cases in group B, the time interval was 12-24 h; and 65 cases in group C, the time interval was> 24 h. Statistical analysis of the maternal pregnancy outcomes, neonatal outcomes. Results The results showed that the incidence of cesarean section, chorioamnionitis and puerperal infection in group C was significantly higher than that in group A and B (P <0.05), and the postpartum hospital stay in group C was longer than that in groups A and B Significantly prolonged (P <0.05). The incidence of neonatal Apgar score less than 7 points in 1 month in group C was significantly higher than that in groups A and B (P <0.05). Conclusion For premature rupture of membranes in term pregnant women should be given timely intervention treatment, shorten the time from rupture of membranes to childbirth, thereby improving the outcome of maternal and infant.