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目的:比较不同宫颈评分的胎膜早破患者其破水至临产、分娩等各时间段的差异,及其与分娩方式的关系,为合理的临床处理提供依据。方法:选取我院2010年足月及近足月胎膜早破并自然临产患者资料共219例,按宫颈评分将产妇分成两组,即宫颈成熟组(0-5分)及宫颈不成熟组(6分及以上),分析宫颈评分与破水至临产时间、产程及分娩方式的关系。结果:宫颈评分与破水临产时间呈负相关,r=-0.167,P=0.013;宫颈成熟组破水-临产时间更短(8.93±7.29小时),宫颈不成熟组破水-临产时间较长(13.32±7.83小时)。宫颈成熟组阴道分娩率更高。结论:宫颈成熟的胎膜早破患者需较短的时间即可临产,促进宫颈成熟,可缩短破水—临产时间,降低剖宫产率。
OBJECTIVE: To compare the differences among patients with premature rupture of membranes in different cervical scores, such as water breakage, labor and delivery, and their relationship with mode of delivery, so as to provide evidence for rational clinical treatment. Methods: A total of 219 patients with preterm premature rupture of membranes and spontaneous labor were enrolled in our hospital from 2010 to 2010. According to the cervical score, maternal women were divided into two groups: cervical mature group (0-5) and cervical immature group (6 points and above), analysis of cervical score and break water to the time of labor, labor and delivery mode. Results: The cervical score was negatively correlated with the time of breaking water, r = -0.167, P = 0.013. In the cervical ripening group, the time of breaking water was shorter (8.93 ± 7.29 hours) and that of the cervical immature group was longer (13.32 ± 7.83 hours). Cervical mature group vaginal delivery rate higher. Conclusion: Patients with mature premature rupture of membranes of the cervix require a short period of time to give birth and promote cervical ripening, which can shorten the time of breaking the water and reduce the time of cesarean section.