包歆+陈念念+袁绮文+苏兆娟

[摘要] 目的 研究未足月胎儿胎膜早破后不同羊水指数对产妇及胎儿的影响。 方法 选取本院妇产科96例未足月胎儿胎膜早破产妇进行研究，根据羊水指数不同随机分为3组，Ⅰ组羊水指数正常，Ⅱ组偏少，Ⅲ组过少，均进行相同的抗感染、抑制宫缩等处理，分析各组产妇的妊娠结局。 结果 Ⅲ组产妇羊膜腔感染及产后子宫内膜炎发生率明显高于Ⅰ、Ⅱ组，新生儿窒息发生率及死亡率高于Ⅰ、Ⅱ组（P<0.05）。Ⅰ组的分娩方式多为自然分娩，Ⅲ组多为剖宫产，差异有统计学意义（P＜0.05）。 结论 未足月胎儿胎膜破裂后，剩余羊水量可影响产妇及新生儿健康状况，并对分娩方式的选择产生一定影响，胎膜破裂时，应密切监测羊水指数的变化，指导治疗方法的选择。

[关键词] 胎膜早破；羊水指数；妊娠结局

[中图分类号] R714.2[文献标识码] A[文章编号] 1674-4721（2014）03（c）-0053-03

Influence of amniotic fluid index in non-full term fetus with premature rupture of membrane on pregnancy outcome

BAO Xin CHEN Nian-nian YUAN Qi-wen SU Zhao-juan

The Fifth Affiliated Hospital of Sun Yat-sen University,Guangdong Province,Zhuhai 519000,China

[Abstract] Objective To study the influence of amniotic fluid index (AFI) in non-full term fetus with premature rupture of membrane in puerpera and fetus.Methods Ninety-six puerperae with premature rupture of membrane in non-full term fetus in our department of obstetrics and gynecology were selected and randomly divided into three groups according to different AFI.The AFI in group Ⅰ was normal,while in group Ⅱ,the AFI was slightly less,and extremely less in group Ⅲ after comparing with that in the group Ⅰ.All groups were treated by anti-inflammation and inhibition of uterine contraction,and the pregnancy outcomes in each group were analyzed.Results The incidence of infection of amniotic cavity and postpartum endometritis in group Ⅲ were much higher as well as neonatal asphyxia and mortality in comparison with those in the other two groups.The delivery mode in group Ⅰ mainly was spontaneous labor,while in group Ⅲ,the caesarean section took the majority with statistical difference (P＜0.05).Conclusion After membrane rupturing in non-full term fetus,the rest amniotic fluid volume can influence on the health conditions of puerpera and fetus as well as certain impact on the selection of delivery mode.Therefore,once fetal membrane is ruptured,the changes of AFI should be closely observed in order to guide the right choice for a therapeutic method.

[Key words] Premature rupture of membrane;Amniotic fluid index;Pregnancy outcome

临床上把产妇妊娠未达37周时胎儿胎膜破裂称为未足月胎儿胎膜早破，未足月胎膜早破会引起胎儿及产妇出现多种并发症，严重者可威胁胎儿及产妇的生命安全[1]，因此临床上针对未足月胎儿胎膜早破应进行周密的护理治疗工作。胎膜早破使羊水量发生变化，有研究表明羊水指数可影响产妇的妊娠结局，包括胎儿及产妇健康状况及分娩方式等[2]。针对以上情况，本研究探讨羊水指数与未足月胎儿胎膜早破的妊娠结局的相关性。

1 资料与方法

1.1 一般资料

选取本院2013年2～10月妇产科96例未足月胎儿胎膜早破产妇进行调查分析。……