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目的:探讨胎膜早破(PROM)与难产的关系及处理。方法:以106例胎膜早破的孕妇为观察组,随机抽取同期胎膜未早破者120例作为对照组,比较两组难产发生率及母儿并发症发生率。结果:观察组难产、胎儿宫内窘迫、新生儿窒息、新生儿肺炎、产褥感染的发生率均高于对照组,差异有统计学意义(P<0.01)。结论:胎膜早破与难产互为因果关系,应加强产前宣教,加强临床观察,及时、正确地处理PROM。
Objective: To investigate the relationship between premature rupture of membranes (PROM) and labor and its treatment. Methods: A total of 106 pregnant women with premature rupture of membranes were selected as the observation group. 120 cases of unprotected premature rupture of membranes were randomly selected as the control group. The incidence of dystocia and the incidence of maternal complications were compared between the two groups. Results: The incidence of dystocia, fetal distress, neonatal asphyxia, neonatal pneumonia and puerperal infection were all higher in the observation group than in the control group (P <0.01). Conclusion: Premature rupture of membranes and dystocia are mutual causation. Prenatal mission should be strengthened, clinical observation should be strengthened, and PROM should be dealt with promptly and correctly.