胎膜早破绒毛膜羊膜炎对新生儿预后的影响.docVIP

精品论文 参考文献 胎膜早破绒毛膜羊膜炎对新生儿预后的影响 （河北省邯郸市中心医院 河北 邯郸 056001） 【摘 要】目的：探讨胎膜早破绒毛羊膜炎对新生儿预后所产生的影响。方法：选用我院2013年1月~2015年2月的60例胎膜早破病例进行回顾性分析，其中，33例为早产胎膜早破，分为研究组，27例为足月胎膜早破分为对照组。结果：研究组胎膜早破并发绒毛炎率较高，为59.2%，而对照组组新生儿肺炎、窒息及病理性黄疸发病率均显著高于研究组，两组差异比较具有统计学意义（P＜0.05）。同时，绒毛膜羊膜炎与产妇血常规的差异比较不具有统计学意义（＞0.05）。结论：胎膜早破绒毛膜羊膜炎对新生儿预后具有一定的影响，因此，临床上应当重视新生儿绒毛膜羊膜炎，积极在实践中探索出有效的检测手段，作出有效的预防和临床治疗效果。 【关键词】新生儿;预后;绒毛膜羊膜炎;胎膜早破;影响 【中图分类号】R714.4 【文献标识码】A 【文章编号】1004-6194（2015）02-0014-02 【Abstract】Objective: to study the premature rupture of membranes villi amniotic membrane inflammation of the impact of neonatal prognosis. Methods: to choose our hospital from January 2013 to February 2015, 60 cases of premature rupture of membranes were analyzed retrospectively, among them, 33 cases of preterm premature rupture of membranes, divided into the team, 27 cases of full term premature rupture of membranes can be divided into the control group. Results: premature rupture of membranes team concurrent villi infection rate is higher, at 59.2%, and the control way, asphyxia newborn pneumonia and pathological jaundice incidence were significantly higher than that of group, differences between the two groups are statistically significant (P lt; 0.05). At the same time, the difference between chorioamnionitis and maternal blood routine is not statistically significant (gt; 0.05). Conclusion: premature rupture of membranes chorionic amniotic membrane inflammation has certain effects on neonatal prognosis, therefore, should be paid great attention to the clinical neonatal chorioamnionitis, and actively explore effective detection means in practice, an effective prevention and clinical treatment effect. 【Key words】 the newborn; The prognosis; Chorioamnionitis. Premature rupture of membranes. Impact 胎膜早破的发生主要是产妇于产程正式开始前的胎膜破裂，胎膜早破有两种不同的情况，分别是早产胎膜早破及足月胎膜早破。胎膜早破往往会引起新生儿在宫内时的感染、窘迫及早产等的病死率或者发病率[1]。近年来，感染的因素在产妇胎膜早破发生中的作用及影响越来越受关注，事实上，大部分胎膜早破发生时都会存在有绒毛膜羊膜炎，胎膜早破绒毛膜羊膜炎对于新生儿的预后是否有影响，本文将以60例胎膜早破病例进行研究和分析，现报告如下。 1