[1]色音其其格,卢建军*.60例足月胎膜早破孕妇最佳引产时机探究[J].中国计划生育和妇产科,2018,(10):85-87.
　Seyinqiqige,LU Jian-jun*.Study on the best time to induce labor in 60 pregnant women with term premature rupture of membranes[J].Chinese Journal of Family Planning & Gynecotokology,2018,(10):85-87.
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60例足月胎膜早破孕妇最佳引产时机探究
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年10期
页码:
85-87
栏目:
论著与临床
出版日期:
2018-10-25

文章信息/Info

Title:
Study on the best time to induce labor in 60 pregnant women with term premature rupture of membranes
作者:
色音其其格; 卢建军*
内蒙古医科大学附属医院产科
Author(s):
Seyinqiqige; LU Jian-jun*
Department of Obstetrics,the Affiliated Hospital of Inner Mongolia Medical University,Hohhot Inner Mongolia 010050,P.R.China
关键词:
胎膜早破; 剖宫产率; 引产; 感染
Keywords:
premature rupture of membranes; cesarean section rate; induction of labor;  infection
分类号:
R 719.8
摘要:
目的探讨足月胎膜早破孕妇不同引产时机对母儿的影响。方法回顾性分析2016年1月至2017年2月内蒙古医科大学附属医院收治的60例足月胎膜早破孕妇的临床资料，根据引产时机的不同将孕妇分为甲乙丙3组，各20例。3组孕妇分别在破膜2 h、12 h、24 h后，静脉滴注缩宫素进行引产，对比分析3组孕妇的引产效果和母婴并发症的发生情况。结果甲、乙、丙3组孕妇的第一产程潜伏期、破膜到分娩时间依次延长，差异有统计学意义（P＜005）。3组孕妇的第二产程比较，差异无统计学意义（P＞005）。引产过程中，3组孕妇均未发生羊水栓塞、围产儿死亡、子宫破裂。甲、乙、丙组孕妇母婴并发症的发生率依次递增，差异有统计学意义（χ2=7033，P=0030）。3组孕妇的产后出血率比较，差异无统计学意义（χ2=0288，P=0866），分娩方式比较，差异有统计学意义（χ2=10700，P=0032）。结论足月胎膜早破孕妇在破膜后2 h引产能有效减少母婴感染性疾病的发生。
Abstract:
ObjectiveTo explore the effect of different induction time on the mother and child in pregnant women with premature rupture of membranes(PROM). MethodsThe clinical data of 60 cases of full-term PROM in the Affiliated Hospital of Inner Mongolia Medical University from January 2016 to February 2017 were retrospectively analyzed. The pregnant women were divided into three groups according to the timing of induction of labor. Three groups of pregnant women were injected with oxytocin intravenously for 2 h, 12 h and 24 h after rupture, and the induction of labor and maternal and child complications were compared. ResultsThe first labor incubation period, rupture of membrane and delivery time of pregnant women in group A, B and C were prolonged, and the difference was statistically significant(P<005). There was no significant difference in the second stage of labor between the three groups(P>005). During the induction of labor, no amniotic fluid embolism, perinatal death, or uterine rupture were observed in the three groups of pregnant women. The incidence of maternal and child complications in pregnant women in groups A, B and C increased in turn, and the difference was statistically significant(χ2=7033,P=0030). There was no significant difference in the postpartum hemorrhage rate between the three groups (χ2=0288, P=0866). The difference was statistically significant(χ2=10700, P=0032). ConclusionTerm PROM in pregnant women 2 hours after rupture can effectively reduce the incidence of maternal and infant infectious diseases.

参考文献/References:

［1］刘睿，王俊侠，李晓文，等．不同类型胎膜早破孕妇阴道微生态的对比研究 ［J］．中国妇幼健康研究，2017，28（5）：538-540． ［2］柯玮琳，赵卫华，王欣昱．足月胎膜早破与母儿感染的临床分析 ［J］．中国妇幼健康研究，2013，24（3）：351-352． ［3］ANTONAKOU A, PAPOUTSIS D The effect of epidural analgesia on the delivery outcome of induced labour: a retrospective case series［J］. Obstetrics and Gynecology International, 2016: 5740534. ［4］HERNNDEZ-MARTNEZ A, PASCUAL-PEDREO A I, BAO-GARNS A B, et al. Relation between induced labour indications and neonatal morbidity ［J］. Archives of Gynecology and Obstetrics, 2014, 290(6): 1093-1099. ［5］王怡．不同引产时机对足月胎膜早破孕妇引产效果及母婴并发症的影响 ［J］．广西医学，2016，38（12）：1696-1698,1702． ［6］Hernández MA, Pascual PAI, Bao GAB, et al. Differences in cesarean sections between spontaneous and induced labour ［J］. Rev Esp Salud Publica, 2014,88 (3):383-393.

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更新日期/Last Update: 2018-10-25