胎膜早破继发羊水过少对妊娠孕妇的相关影响因素的临床分析.docVIP

精品论文 参考文献 胎膜早破继发羊水过少对妊娠孕妇的相关影响因素的临床分析 孙桂蓉 　　（四川省成都彭州市人民医院 611930） 　　【摘要】目的 探讨和分析胎膜早破继发羊水过少对妊娠孕妇相关因素的影响。方法 对我院收治的86例胎膜早破患者进行羊水指数的检测，根据羊水指数结果将46例羊水过少的孕妇设为观察组，40例羊水量正常或偏少的孕妇设为对照组，观察比较2组孕产妇的分娩方式、宫内感染情况、胎儿宫内窘迫发生率、新生儿Apgar评分等。结果 观察组患者的剖宫产率、宫内感染率、胎儿宫内窘迫率、新生儿Apgar评分le;7的发生率均显著高于对照组，组间差异具有统计学意义（P＜0.05）。结论 胎膜早破继发羊水过少对妊娠孕妇会产生多种不良影响，临床上需给予重视。 　　【关键词】胎膜早破 羊水过少 妊娠孕妇 影响 　　【中图分类号】R714.43+3 【文献标识码】A 【文章编号】2095-1752（2014）21-0094-02 　　Clinical analysis of influence of oligohydramnios after premature rupture of membranes on pregnant woman 　　【Abstract】Objective To investigate and analyze the secondary effects of oligohydramnios after premature rupture of membranes（PROM）on pregnant women. Methods The amniotic fluid index of 86 cases with PROM in our hospital were detected. According to the results, the 46 cases who were oligohydramnios was set as observation group, and the 40 cases whose amniotic fluid volume was normal or below normal pregnant women was set as control group. To observe and analyse the mode of delivery, intrauterine infection, the incidence of fetal distress, Apgar score of the two groups. Results The cesarean section rate, intrauterine infection, fetal distress, neonatal Apgar scorele; 7 the control group, and the statistical differences between the two groups was significance (P lt;0.05). Conclusion Premature rupture of membranes secondary to oligohydramnios will produce a variety of adverse effects on the pregnant women. we should be to think highly of it in the clinical practice. 　　【Key words】Premature rupture of membranes Oligohydramnios Pregnant women Influnce 　　胎膜早破又称之为胎膜破例，多发于临产前，是一种常见的围产期并发症，发病率为3%~17%[1]。胎膜早破???导致羊水过少，胎膜早破继发的羊水过少极易引起胎儿宫内窘迫，并且还会增加母婴感染的机会，严重威胁到母婴的健康[2]。本研究观察并分析胎膜早破继发羊水过少对妊娠孕妇的相关影响因素，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　本研究对象均为我院2013年1月至2013年12月收治的胎膜早破孕妇，共86例，孕周均在32~40+6周，根据彩超的检查结果将羊水量过少的46例孕妇设为观察组，其中有初产妇38例，经产妇8例；而另外羊水量正常或偏少的40例孕妇设为对照组，其中初产妇31例，经产妇9例。2组孕妇均在破膜12 h内住院或者在住院的过程中出现破膜