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目的分析引起胎膜早破早产在围生期的病因,探讨生殖道感染对妊娠结局的影响。方法对2012年6月1日—2013年7月31日在该院分娩的胎膜早破早产(<35周)病例49例,按宫颈分泌物培养是否有菌生长,分为A组(有菌生长),共26例;B组(无菌生长),共23例;进行围生期分析。结果引起胎膜早破的主要原因是生殖道感染,A组胎膜早破孕周为(32.7±2.3)周,B组为(33.8±1.9)周,P=0.001;分娩孕周,A组为(33.7±2.0)周,B组为(35.2±1.7)周,P=0.006;出生体重,A组为(2 251.9±643.0)g,B组为(2 603.0±543.5)g,P<0.05;保胎时间(d),A组与B组取中位数分别为5和1,P=0.000。结论在孕妇学校广泛宣传防治生殖道感染的好处,可有效减少胎膜早破分娩孕周提前;新生儿出生体重低,保胎时间短的发生。
Objective To analyze the etiology of premature rupture of membranes caused by premature rupture of membranes in the perinatal period and to explore the effect of genital tract infection on pregnancy outcome. Methods Forty-nine patients with premature rupture of membranes (<35 weeks) who were delivered at the hospital from June 1, 2012 to July 31, 2013 were divided into group A according to whether there was bacterial growth in cervical secretions Bacteria growth), a total of 26 cases; B group (sterile growth), a total of 23 cases; perinatal analysis. Results The main cause of premature rupture of membranes was genital tract infection. The gestational age of premature rupture of membranes in group A was (32.7 ± 2.3) weeks and that in group B was (33.8 ± 1.9) weeks, P = 0.001. (33.7 ± 2.0) weeks in group B (35.2 ± 1.7) weeks, P = 0.006; birth weight in group A was (2151.9 ± 643.0) g and in group B was (2 603.0 ± 543.5) g, P <0.05 (D), the median of group A and group B was 5 and 1 respectively, P = 0.000. Conclusions The benefits of preventing and treating reproductive tract infections are widely publicized in pregnant women schools, which can effectively reduce gestational age of premature rupture of membranes and give birth early; birth weight is low and birth confinement time is short.