杜艳华

[摘要] 目的 探讨胎膜早破合并羊膜腔感染综合征的临床特点，为临床治疗提供依据。 方法 回顾性的分析该院2010年8月—2014年9月收治的胎膜早破合并羊膜腔感染综合征患者140例作为观察组，同期选择胎膜早破未发生羊膜腔感染综合征患者140例作为对照组，观察两组中产妇及新生儿的结局影响。 结果 观察组剖宫产率、产褥感染、产后出血等发生率明显高于对照组，差异有统计学意义（P<0.05），观察组新生儿窒息、胎儿窘迫、围产儿感染率明显高于对照组，差异有统计学意义（P<0.05）。结果 胎膜早破合并羊膜腔感染患者要积极采取预防措施，减少羊膜腔感染综合征的发生率，能更好的降低各种并发症对产妇及围产儿的危害。

[关键词] 胎膜早破；羊膜腔感染综合征；临床观察

[中图分类号] R714.433 [文献标识码] A [文章编号] 1674-0742（2015）01（b）-0014-02

The Clinical Observation of Premature Rupture of Membranes Combined with Amniotic Infection Syndrome

DU Yanhua

Department of Obstetrics and Gynecology， Yunnan Qujing Maternal and Child Health Hospital， Qujing， Yunnan Province， 655000， China

[Abstract] Objective To investigate the clinical features of premature rupture of membranes combined with amniotic infection syndrome so as to provide a basis for clinical treatment. Methods A retrospective analysis was conducted on 140 cases with premature rupture of membranes and amniotic infection syndrome in the observation group and 140 cases with premature rupture of membranes but without amniotic infection syndrome in the control group admitted in our hospital from August 2010 to September 2014. And the maternal and neonatal outcome in the two groups was observed. Results The rate of cesarean section， incidence of puerperal infection and postpartum hemorrhage of the observation group were much higher than those of the control group， the differences were statistically significant（P<0.05）. The incidence of neonatal asphyxia， fetal distress， rate of perinatal infection of the observation group were obviously higher than those of the control group， the differences were statistically significant（P<0.05）. Conclusion For patients with premature rupture of membranes and amniotic infection syndrome， preventive measures should be positively taken so as to reduce the incidence of amniotic infection syndrome and the damage of the complications to the puerperant and perinatal fetus.

[Key words] Premature rupture of membranes； Amniotic infection syndrome； Clinical observation

胎膜早破是指临产前出现胎膜破裂，我国发生率为2.7%～7%[1]。由于产前发生胎膜早破，导致细菌停留在阴道内，使之上行至子宫内引起胎盘、胎膜、羊水甚至胎儿发生感染，出现早产、胎盘早剥、羊水过少、脐带脱垂等严重影响孕产妇及胎儿的健康，使孕产妇及围生儿的感染率及病死率有所增高[2]。因此要采取积极的治疗，降低感染的发生[3]。该院对2010年8月—2014年9月收治的胎盘早破合并羊膜腔感染综合征患者进行回顾性分析，取得了满意的效果，现报道如下。

1 资料与方法

1.1 一般资料

选取该院收治的胎膜早破合并羊膜腔感染综合征患者140例作为观察组，同期选择胎膜早破未发生羊膜腔感染综合征患者140例作为对照组，对两组临床资料进行回顾性的分析。观察组140例年龄在23～38岁之间，平均为（30.5±1.3）岁，孕周为30～42周之间，平均为（36±2）周，初产妇116例，经产妇24例。对照组140例年龄在21～40岁之间，平均为（31.5±1.5）岁，孕周为31～41周之间，平均为（36±1）周，初产妇110例，经产妇30例。……