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目的探讨胎膜早破与母婴并发症的关系。方法对3549例无妊娠并发症的产妇资料进行回顾性分析,将胎膜早破345例做为胎膜早破组,无胎膜破裂3204例作为对照组,对两组母婴结局进行比较。结果胎膜早破组的剖宫产率、产褥病率、早产率、新生儿窒息及肺炎发病率均较对照组显著升高,有显著性差异;破膜距妊娠结束时间及早产与新生儿窒息及肺炎关系密切。结论胎膜早破与难产互为因果关系。对不同孕周胎膜早破患者应采取不同治疗方案,以尽可能减少母婴并发症。
Objective To investigate the relationship between premature rupture of membranes and maternal and infant complications. Methods The data of 3549 pregnant women with no complications of pregnancy were retrospectively analyzed. 345 cases of premature rupture of membranes were treated as premature rupture of membranes group and 3204 cases without rupture of membranes as control group. The maternal and infant outcomes were compared between the two groups. Results The rate of cesarean section, puerperal morbidity, premature birth rate, neonatal asphyxia and pneumonia in premature rupture of membranes group were significantly higher than those in control group, with significant differences; rupture of membranes from the end of pregnancy and premature birth and newborn Asphyxia and pneumonia are closely related. Conclusion Premature rupture of membranes and dystocia each causality. Different gestational weeks premature rupture of membranes should take different treatment options to minimize maternal and child complications.