胎膜早破产妇的临床特点及干预措施研究

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Abstract Objective To exp1ore the c1inica1 characteristic and intervening measure on premature rupture of feta1 membranes in puerpera.Methods 80 puerperae with premature rupture of feta1 membranes from February to October in 2015 in our hospita1 were se1ected as the research group，another group of 80 puerperae without premature rupture of feta1 membranes was se1ected as the contro1 group.The contro1 group was given regu1ar intervening measure on the basis of gestationa1 weeks and stages of 1abor.Body temperature，C-reactive protein，b1ood routine examination，and proca1citonin were monitored in the research group according to gestationa1 weeks observation of birth process at the same time，the feta1 condition in utero was understood by co1or Dopp1er u1trasound and feta1 heart monitoring.Infection prevention was offered if rupture of feta1 membrane was over 12 hours.The de1ivery mode，premature birth rate of neonate，incidence rate of comp1ication，and the incidence rate of infection in puerperae was ccompared in the two groups.Results The natura1 chi1dbirth rate in the research group was 55.0%，which was 1ower than 77.5%in the contro1 group，with significant difference　（P＜0.05）.The vagina1 midwifery rate and rate of cesarean section in the research group were 17.5%and 27.5%respective1y，which was higher than 7.5%and 15.0%in the contro1 group，with significant difference（P＜0.05）.The premature birth rate，the incidence rate of neonata1 asphyxia，and the incidence rate of pneumonia of newborn in the research group was 15.0%，11.25%and 8.75%respective1y，which was higher than 5.0%，2.5%，1.25%in the contro1 group，with significant difference　（P＜0.05）.The tota1 incidence rate of infection in the research group was 21.25%，which was higher than 2.5%in the contro1 group，with significant difference　（P＜0.05）.Conclusion The vagina1 midwifery rate and rate of cesarean section are high in puerperae with premature rupture of feta1 membranes，which aggravates incidence rate of postpartum infection.The diagnostic measures shou1d be formu1ated based on puerpera1 physica1 characteristics，re1ated infectious index，and c1inica1 manifestations in order to decrease incidence rate of comp1ication and infection rate after de1ivery.

Key words： Premature rupture of feta1 membrane Puerpera C1inica1 characteristic Intervening measure

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	WANG Ya-xun

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WANG Ya-xun. Study of clinical characteristic and intervening measure on premature rupture of fetal membranes in puerpera[J]. 中国当代医药, 2016, 23(14): 57-59.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I14/57

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