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目的:探讨胎膜早破与早产、产后子宫内膜炎、围产儿结局的关系。方法:将临床305例早产的患者中119例胎膜早破作为观察组,早产但未发生胎膜早破的186例为对照组,进行回顾性分析,并对所得的结果采用χ2检验。结果:观察组产前感染及产后感染的发生都明显高于对照组,差异有统计学意义。但两组的分娩方式、围产儿结局差异均无统计学意义。结论:胎膜完整对防御感染甚为重要。胎膜早破对围产儿的主要危险因素是引发早产,防治胎膜早破的关键是防治早产。
Objective: To investigate the relationship between premature rupture of membranes and preterm delivery, postpartum endometritis and perinatal outcome. Methods: One hundred and ninety-five patients with premature rupture of membranes in preterm premature rupture of membranes were enrolled in this study. 186 preterm premature rupture of membranes without premature rupture of membranes were used as the control group. The data were analyzed retrospectively and the results were analyzed byχ2 test. Results: The incidence of prenatal infection and postpartum infection in observation group were significantly higher than that in control group, the difference was statistically significant. However, the two groups of delivery methods, perinatal outcomes no significant difference. Conclusion: Complete fetal membranes are important for defensive infection. Premature rupture of membranes on perinatal children is the main risk factor is premature, premature rupture of membranes is the key prevention and treatment of premature birth.