南油矿区产妇胎膜早破结局的临床分析和护理

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1、南油矿区产妇胎膜早破结局的临床分析和护理【摘要】目的：探讨胎膜早破与难产及母儿并发症的关系，重视产程观察和护理，确保母婴安全。方法：对844例无妊娠并发症的产妇资料进行回顾性分析，其中胎膜早破患者162例(胎膜早破组)，胎膜未破患者682例(胎膜未破组)作为对照，比较两组的分娩方式、母儿并发症发生情况，分析胎膜早破患者早产与新生儿并发症的关系及破膜时间距应用抗生素的时间、距妊娠结束的时间对母儿并发症的影响。结果：胎膜早破组的剖宫产率、早产率、新生儿窒息及新生儿肺炎发生率均较胎膜未破组明显升高(P<0.01)，两组母亲产

2、褥感染率差异无统计学意义(P>0.05)。破膜距妊娠结束时间及早产与新生儿窒息及新生儿肺炎关系密切，距抗生素应用时间对母儿并发症无明显影响。结论：胎膜早破与难产互为因果关系，应重视产程观察，对不同孕周胎膜早破患者应采取不同治疗处理方案，以尽可能减少母儿并发症的发生。【关键词】胎膜早破;难产;早产;产褥感染率;新生儿窒息;新生儿肺炎;护理ClinicalanalysisandnursingofprematureruptureofmembranesinNanyouminingareaCHENLina(Department

3、ofOutPatient,SouthChinaSeaPetroleumHospitalofHaiyouKangbaoMedicalandServiceLtd.Zhanjiang524057,China)[ABSTRACT]Objective:Tostudytherelationshipamongprematureruptureofmembranes(PROM),dystociaandcomplicationsofmaternalandfetus.Attachimportancetoobserveandnursedur

4、ingbirthprocesstoensurethesafetyofmaternalandfetus.Methods：Theclinicaldataof844casesoflyinginwomenwhowithorwithoutpregnantcomplicationswereretrospectivelyanalyzed,including162casesofPROMasstudygroupand682casesofnotPROMascontrolgroup.Tocontrastmodeofdelivery,co

5、mplicationsofmaternalandfetusintwogroups.TostudytherelationshipbetweenprematuredeliveryandcomplicationsoffetusinPROM.Toexploretheeffectofthetimeawayfromruptureofmembranestotheuseofantibioticsandtotheendofpregnancyoncomplicationsofmaternalandfetus.Results：Therate

6、sofcesareansection,pretermbirth，neonatalasphyxiaandpneumoniaofnewbornsinPROMwerehighersignificantlythanthoseofcontrols(P<0.01).TherewasnostatisticaldifferencebetweenthefrequencyofpostpartuminfectionsofPROMandthatofcontrols(P>0.05).Thetimeawayfromruptureofmembran

7、estotheendofpregnancyandprematuredeliverywererelatedwithasphyxiateandpneumoniaofnewborns.Conclusion：ThePROMisthecauseofdystociaandviceversa,soitisnecessarytoobservethebirthprocess.PatientsofPROMwithdifferentweekofpregnancyshouldbetreatedwithdifferentmethodstodec

8、reasethecomplicationsofmaternalandfetus.[KEYWORDS]PROM;Dystocia;Pretermbirth;rateofpostpartuminfections;neonatalasphyxia;pneumoniaofnewborn;Nursing胎膜早破为产科常见并发症，与难产及母儿