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足月胎膜早破的干预时机对产妇妊娠结局的影响

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目的 探讨足月胎膜早破孕妇不同干预时机对其妊娠结局产生的影响.方法 选取90例足月胎膜早破孕妇为研究对象,根据随机数字表法分为A、B、C三组,每组30例.A组破膜后2~3h给予静脉滴注缩宫素进行干预,B组破膜后6~8 h给予静脉滴注缩宫素进行干预,C组破膜后11~12 h给予静脉滴注缩宫素进行干预,比较三组妊娠结局.结果 A组产后出血量低于B组、C组,产后出院时间短于B组、C组(P<0.05);A组宫产率、绒毛膜羊膜炎发生率均低于B组,但差异均无统计学意义(P>0.05);A组剖宫产率、绒毛膜羊膜炎发生率均低于C组(P<0.05);B组剖宫产率、绒毛膜羊膜炎发生率均低于C组,但差异均无统计学意义(P>0.05);A组胎儿窘迫发生率、新生儿窒息率、新生儿感染率均低于C组(P<0.05);A组与B组、B组与C组胎儿窘迫发生率、新生儿窒息率、新生儿感染率比较,差异均无统计学意义(P>0.05).结论 足月胎膜早破产妇尽早开展静脉滴注缩宫素效果较好,可以有效地改善产妇妊娠结局,降低母婴并发症发生率,保证母婴健康,值得临床推广与应用.
Effect of intervention time of premature rupture of term membranes on maternal pregnancy outcome
Objective To investigate the effect of different intervention timing on pregnancy outcome of pregnant women with premature rupture of membranes.Methods A total of 90 pregnant women with premature rupture of membrane were selected as the study objects and divided into three groups according to random number table method:A,B and C,with 30 cases in each group.Group A was given intravenously injected oxytocin 2-3 h after membrane rupture,group B was given intravenously injected oxytocin 6-8 h after membrane rupture,and group C was given intravenously injected oxytocin 11-12 h after membrane rupture.The pregnancy outcome of the three groups was compared.Results The postpartum blood loss in group A was lower than that in group B and group C,and the postpartum discharge time was shorter than that in group B and group C(P<0.05).The uterine productivity and incidence of chorioamniitis in group A were lower than those in group B,but the differences were not statistically significant(P>0.05).The cesarean section rate and chorioamniotic infection rate of group A were lower than those of group C(P<0.05).The cesarean section rate and the incidence of chorioamniitis in group B were lower than those in group C,but the differences were not statistically significant(P>0.05).The incidence of fetal distress,neonatal asphyxia and neonatal infection rate in group A were lower than those in group C(P<0.05).There were no significant differences in the incidence of fetal distress,neonatal asphyxia and neonatal infection rate between group A and group B,and between group B and group C(P>0.05).Conclusion The effect of intravenously injecting oxytocin as early as possible is good,which can effectively improve the pregnancy outcome,reduce the incidence of maternal and infant complications,ensure the health of maternal and infant,and is worthy of clinical promotion and application.

Term premature rupture of membranesTiming of interventionOxytocinPregnancy outcome

黄小玲、张晓燕、甄玉瑜

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东莞市石碣医院妇产科,广东 东莞 523000

足月胎膜早破 干预时机 缩宫素 妊娠结局

东莞市社会发展科技项目(2022)

20221800902262

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(10)
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