足月胎膜早破破水至分娩的间隔时间对母婴结局的影响

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目的探讨足月胎膜早破破水至分娩的间隔时间对母婴结局的影响。方法回顾性分析2015年6月～2019年6月兴城市妇女儿童医院收治的442 例足月胎膜早破产妇的临床资料，根据破水至分娩的间隔时间将产妇分为A 组（＜12 h，259 例）、B 组（12～60 h，132 例）与C 组（＞60 h，51例），比较三组产妇的分娩方式以及母婴结局。结果三组产妇的产后24 h 出血量、产后住院时间比较，差异无统计学意义（P＞0.05）。C 组产妇的剖宫产率高于A组、B 组，差异有统计学意义（P＜0.05）。C 组产妇的绒毛膜羊膜炎发生率高于A 组、B 组，差异有统计学意义（P＜0.05）；B 组产妇的绒毛膜羊膜炎发生率高于A 组，差异有统计学意义（P＜0.05）。C 组的胎儿宫内窘迫发生率及新生儿住院率高于A 组、B 组，差异有统计学意义（P＜0.05）。结论足月胎膜早破破水至分娩的间隔时间越短，母婴结局越好；破水至分娩的间隔时间越长，新生儿并发症发生率越高。为了改善母婴预后，建议足月胎膜早破者积极入院引产，尽量缩短破水至分娩的间隔时间。

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	王佳

关键词 ：胎膜早破, 剖宫产, 新生儿, 绒毛膜羊膜炎

Abstract：Objective To explore the effect of the time interval between premature rupture of fetal membranes and delivery on maternal and infant outcomes.Methods The clinical data of 442 cases of full-term premature rupture of membranes in Xingcheng Women and Children′s Hospital from June 2015 to June 2019 were retrospectively analyzed and divided into group A(＜12 h,259 cases),group B(12-60 h,132 cases)and group C(＞60 h,51 cases)according to the time from rupture to delivery.The delivery methods and maternal and infant outcomes were compared among the three groups.Results There were no statistically significant differences in blood loss 24 h after delivery and length of postpartum hospital stay among the three groups(P＞0.05).The rate of cesarean section in group C was higher than those in groups A and B,and the differences were statistically significant(P＜0.05).The incidence of chorioamnionitis in group C was higher than those in groups A and B,and the differences were statistically significant(P＜0.05).The incidence of chorioamnionitis in group B was higher than that in group A,and the difference was statistically significant(P＜0.05).The incidence of intrauterine distress and the hospitalization rate of newborns in group C was higher than those of groups A and B,and the differences were statistically significant(P＜0.05).Conclusion The shorter the time from premature rupture to delivery,the better the outcome.The longer the time from premature rupture to delivery,the higher the incidence of newborn complications.In order to improve the prognosis of mothers and newborns,it is suggested that those with premature rupture of membranes at term should be actively admitted to hospital for induction of labor,and the time interval between rupture and delivery should be shortened as far as possible.

Key words： Premature rupture of fetal membranes Cesarean section Newborn Chorioamnionitis

收稿日期: 2020-02-20

引用本文:

王佳. 足月胎膜早破破水至分娩的间隔时间对母婴结局的影响[J]. 中国当代医药, 2021, 28(2): 87-90.
WANG Jia. Effect of the time interval between premature rupture of fetal membranes and delivery on maternal and infant outcomes. 中国当代医药, 2021, 28(2): 87-90.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I2/87

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