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目的:分析和探讨足月妊娠胎膜早破孕妇的临床处理对妊娠结局的影响。方法:运用随机抽样的方法选择我院的足月妊娠胎膜早破产妇200例,根据不同的临床处理将产妇分为期待治疗组(103例)和引产组(97例)两组,比较两组产妇的分娩结局和母婴并发症。结果:期待治疗组中围产儿患病率为34.95%,引产组患病率为17.53%,两组相比期待治疗组明显较高(P<0.05);两组新生儿均无死亡病例;期待治疗组中产妇并发症发生率为33.01%,引产组为18.56%,两组相比期待治疗组产儿患病率和产妇并发症明显高于引产组(P<0.05)。结论:足月妊娠胎膜早破有引起难产的危险,与等待自然分娩的被动处理相比,胎膜早破后尽快采用引产主动处理能够有效降低母婴并发症的发生率,可作为足月妊娠胎膜早破临床处理的首选。
Objective: To analyze and discuss the effect of clinical treatment of pregnant women with premature rupture of membranes on pregnancy outcomes. Methods: 200 cases of preterm rupture of premature rupture of membranes in our hospital were selected by random sampling method. According to different clinical treatment, the women were divided into two groups: expectant treatment group (103 cases) and induction group (97 cases) Group maternal delivery outcomes and maternal and child complications. Results: The expected prevalence of perinatal children in the treatment group was 34.95%, and the prevalence rate in the induced labor group was 17.53%. The two groups were significantly higher than the expectant treatment group (P <0.05); no deaths were found in both groups; The incidence of maternal complications was 33.01% in the treatment group and 18.56% in the induction group. The prevalence and maternal complications in the treatment group were significantly higher than those in the induction group (P <0.05). CONCLUSIONS: Full-term premature rupture of membranes has the potential to cause dystocia. Compared with the passive treatment waiting for natural childbirth, the use of active induction of labor as soon as possible after premature rupture of membranes can effectively reduce the incidence of maternal and infant complications and can be used as full term Premature rupture of membranes in pregnancy clinical treatment of choice.