摘要
目的探讨不同引产时机对足月胎膜早破孕妇的引产效果及母婴并发症的影响。方法选取胎膜早破孕妇150例,均为孕足月,分为A、B、C 3组各50例,A组、B组、C组分别于破膜2 h、12 h、24 h后未临产给予静脉滴注缩宫素引产。比较3组孕妇第一产程潜伏期、第二产程时间、破膜到分娩时间、分娩方式、产后出血率、孕妇绒毛膜羊膜炎发生情况和围产儿病率。结果 3组孕妇在引产过程中均未发生羊水栓塞、子宫破裂或围产儿死亡。A、B、C组第一产程潜伏期、破膜到分娩时间依次延长(P<0.05)。A组阴道分娩率高于B、C组,而剖宫产率低于B、C组(P<0.05)。3组孕妇产后出血率比较,差异无统计学意义(P>0.05)。A、B、C组孕妇绒毛膜羊膜炎及新生儿窒息、肺炎、高胆红素血症发生率依次升高(P<0.05)。结论对孕足月胎膜早破孕妇破膜2 h后未能自然临产者,积极引产可缩短破膜到分娩时间、降低剖宫产率及母婴并发症的发生率。
Objective To explore the effects of induced labor with different times on induced labor efficacy and maternal and neonatal complications in term pregnant women with premature rupture of membranes. Methods A total of 150 term pregnant women with premature rupture of membranes were enrolled and divided into Group A, Group B and Group C, with 50 cases in each group. Group A, group B and group C were intravenously administrated oxytocin at 2 b, 12 h and 24 h after the premature rupture of membranes for induced labor respectively. The latent period of the first stage of labor, the duration of the second stage of labor time, the duration between rupture of membranes and delivery, the method of delivery, postpartum hemorrhage, incidence of maternal chorioamnionitis and perinatal morbidity rate were compared among the three groups. Results No amniotic embolism, uterine rupture and death of perinatal infant occurred in the three groups. The latent period of the first stage of labor, and the duration between rupture of membranes and delivery prolonged in the order of Group A, Group B and Group C （ P 〈 O. 05 ）. The rate of vaginal delivery was higher and the rate of cesarean section was lower in Group A compared to group B and C （ P 〈 0.05 ）. There was no statistical difference in the rate of postpartum hemorrhage among the three groups（ P 〉 0.05 ）. The incidence rates of chorioamnionitis and neonatal asphyxia, pneumonia and hyperbilirubinemia increased in the order of Group A, Group B and Group C （ P 〈 0.05 ）. Conclusion For the term pregnant women with premature rupture of membranes who do not have spontaneous labor after 2 hours of rupture of membranes, active induced labor should be performed, which can shorten the duration between rupture of membranes and delivery, decrease the rates of cesarean section and maternal and neonatal complications.
出处
《广西医学》
CAS
2016年第12期1696-1698,1702,共4页
Guangxi Medical Journal
关键词
胎膜早破
足月
引产
剖宫产
绒毛膜羊膜炎
围产儿病率
Premature rupture of membranes, Term pregnancy, Induced labor, Cesarean section, Chorioamnionitis, Perinatal morbidity rate of fetus
