首页|探究妊娠晚期孕妇出现未足月胎膜早破的高危因素及其防护策略

探究妊娠晚期孕妇出现未足月胎膜早破的高危因素及其防护策略

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目的 探讨妊娠晚期孕妇出现未足月胎膜早破的高危因素,并制订针对性防护策略.方法 选取 2021 年10月—2023 年10 月浙江省人民医院毕节医院收治的 90 例妊娠晚期孕妇为研究对象,对所有孕妇进行随访调查,观察随访期间未足月胎膜早破发生情况,并基于发生情况分组,构建Logistic回归模型,分析妊娠晚期孕妇出现未足月胎膜早破的高危因素.结果 经调查,90 例妊娠晚期孕妇中有 14 例发生未足月胎盘早破,占比 15.56%.未足月胎盘早破发生组羊水过多、瘢痕子宫、胎位异常、阴道炎症占比高于未发生组,组间差异有统计学意义(P<0.05).Logistic回归结果显示,羊水过多、瘢痕子宫、胎位异常、阴道炎症是妊娠晚期孕妇出现未足月胎膜早破的高危因素(P<0.05).结论 羊水过多、瘢痕子宫、胎位异常、阴道炎症是妊娠晚期孕妇出现未足月胎膜早破的高危因素,院方可根据孕妇体征及存在的风险因素,及早实施针对性干预.
Exploring the High-Risk Factors and Protective Strategies for Preterm Premature Rupture of Membranes in Late Pregnancy Pregnant Women
Objective To explore the high-risk factors for preterm premature rupture of membranes in late pregnancy and develop targeted protective strategies.Methods A total of 90 late pregnancy pregnant women admitted to Zhejiang Provincial People's Hospital Bijie Hospital from October 2021 to October 2023 were selected as the research subjects conduct follow-up surveys on all pregnant women.The incidence of premature rupture of membranes at full term during the follow-up period was observed,and based on the occurrence,grouping was conducted.A logistic regression model was constructed to analyze the high-risk factors for premature rupture of membranes at full term in late pregnancy pregnant women.Results After investigation,14 out of 90 late pregnancy pregnant women experienced premature rupture of the placenta at full term,accounting for 15.56%.The proportion of polyhydramnios,scarred uterus,abnormal fetal position,and vaginitis in the group with premature rupture of placenta at full term was higher than that in the group without it,and the differences between the groups were statistically significant(P<0.05).Constructing a logistic multiple regression model,the results showed that polyhydramnios,scarred uterus,abnormal fetal position,and vaginitis were high-risk factors for preterm premature rupture of membranes in late pregnancy(P<0.05).Conclusion Excessive amniotic fluid,scarred uterus,abnormal fetal position,and vaginitis are high-risk factors for premature rupture of membranes in late pregnancy.Hospitals can implement targeted interventions as early as possible based on the signs of pregnant women and the existing risk factors.

Late pregnancy pregnant womenPremature rupture of membranesScarred uterusVaginitisExcessive amniotic fluidRisk factor

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浙江省人民医院毕节医院产科,贵州毕节 551700

妊娠晚期孕妇 胎膜早破 瘢痕子宫 阴道炎症 羊水过多 风险因素

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(9)
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