International Journal of Nursing Research. 2020; 2: (4) ; 10.12208/j.ijnr.20200159.
云南省第一人民医院昆明理工大学附属医院产科 云南 昆明
*通讯作者：李晓云，单位：云南省第一人民医院昆明理工大学附属医院产科 云南 昆明；
目的 分析胎膜早破危险因素及妊娠结局。方法 于我院妇产可选取600例胎膜早破患者作为本次实验的研究对象，对其临床资料进行回顾性分析，研究导致胎膜早破的危险因素以及对妊娠结局的影响。结果 据本次实验回顾性分析来看，胎膜早破的危险因素比较复杂，多与流产或引产、生殖器感染、胎儿异常、妊娠期并发症、子宫畸形、前置胎盘等因素有关，且600例患者中因以上因素而导致胎膜早破的患者例数分别为227例、109例、128例、94例、24例、18例，占比分别为37.83%、18.16%、21.33%、15.67%、4%、3%，其中以流产或引产、生殖器感染、胎儿异常、妊娠期并发症四方面因素风险性最高。其次，600例产妇阴道分娩329例，剖宫产271例，阴道分娩率54.83%，剖宫产率45.17%。再次，600例产妇共娩出新生儿613例，其中42例出现胎儿窘迫，占比6.85%，35例新生儿窒息，占比5.71%。结论 导致胎膜早破的危险因素较多，应尽可能早发现、早治疗，及时防范，降低胎膜早破发生率，保障母婴安全。
Objective: To analyze the risk factors and pregnancy outcomes of premature rupture of membranes. Methods: In our hospital, 600 patients with premature rupture of membranes can be selected as the research object of this experiment, and their clinical data were retrospectively analyzed to study the risk factors leading to premature rupture of membranes and their effects on pregnancy outcomes. Results: According to the retrospective analysis of this experiment, the risk factors for premature rupture of membranes are more complicated, mostly related to abortion or induced labor, genital infections, fetal abnormalities, pregnancy complications, uterine malformations, placenta previa, and other factors.And among the 600 patients, the number of patients with premature rupture of membranes due to the above factors was 227, 109, 128, 94, 24, 18, accounting for 37.83%, 18.16%, 21.33%, 15.67%, 4%, and 3%, among which the four factors with the highest risk are abortion or induced labor, genital infection, fetal abnormalities, and complications during pregnancy. Second, there were 329 cases of vaginal delivery in 600 cases of maternal, 271 cases of cesarean section, the rate of vaginal delivery was 54.83%, and the rate of cesarean section was 45.17%. Thirdly, 613 neonates were delivered by 600 women, of which 42 had fetal distress, accounting for 6.85%, and 35 neonatal asphyxia, accounting for 5.71%. Conclusion : There are many risk factors leading to premature rupture of membranes, and should be detected and treated as soon as possible, and timely prevention should be made to reduce the incidence of premature rupture of membranes and ensure the safety of mothers and infants.