标题：足月前胎膜早破剩余羊水量对妊娠结局的影响

      作者：盛浴澜 1，栾加敏 1，郭厉琛 1，袁 敏 2
    (1.上海嘉定中心医院妇产科，上海 201800；
2.上海中医药大学，上海 201800)

      卷次： 2015年26卷12期

      【摘要】 目的 探讨足月前胎膜早破(PPROM)发生后剩余羊水量与母儿结局的关系。方法 选取2008年
1月至2013年12月嘉定中心医院产科住院分娩的180例PPROM孕妇，根据胎膜破裂后羊水指数(AFI)结果将孕
妇分为羊水量正常组(8 cm40例。观察各组孕妇的AFI、孕妇发热情况、白细胞计数、发生PPROM的孕周、潜伏期时限及分娩方式，并对各
组孕妇的围产期发病情况进行分析。结果 (1)三组孕妇的破膜时间、白细胞计数、发热等指标比较差异无统计
学意义(P>0.05)；(2)羊水量过少组孕妇在潜伏期时间、宫内感染、胎儿窘迫、新生儿窒息、剖宫产率方面与羊水偏
少组及羊水量正常组比较，差异均有统计学意义(P<0.05)；(3)在“社会因素”手术指征方面，羊水过少组与羊水偏
少组比较差异无统计学意义(P>0.05)，但与羊水正常组比较差异有统计学意义(P<0.05)。结论 PPROM后的剩
余羊水量过少与潜伏期缩短、宫内感染、胎儿宫内窘迫、新生儿窒息增加有关。

      【关键词】 未足月胎膜早破；羊水过少；妊娠结局

      【中图分类号】 R714.43+3 【文献标识码】 A 【文章编号】 1003—6350（2015）12—1756—03


Effect of residue amniotic fuid volume on pregnancy outcomes in preterm premature rupture of membranes.
SHENG Yu-lan 1, LUAN Jia-min 1, GUO Li-chen 1, YUAN Min 2.
1. Department of Gynaecology and Obstetrics, Shanghai
Jiading Central Hospital, Shanghai 201800, CHINA; 2. Shanghai Traditional Chinese Medicine University, Shanghai
201800, CHINA

【Abstract】 Objective To analyze the relationship between the residue amniotic fluid volume and the preg-
nancy outcomes after the preterm premature rupture of membranes (PPROM). Methods One hundred and eighty
pregnant women with PPROM in Shanghai Jiading Central Hospital from 2008 to 2013 were selected as the research
subjects. According to the amniotic fluid index (AFI) after the preterm premature rupture of membranes, patients were
divided into three groups: (1) Group of normal amniotic fluid: 8 cmgohydramnios: 5 cmied with AFI, maternal fever cases, white blood cell (WBC) count, gestational age at rupture of membrane, the incuba-
tion period and the mode of delivery. Results (1) There were no significant differences among all the groups in the
rupture time, WBC count and occurrence of fevers (P>0.05). (2) Intrauterine infection, neonatal respiratory distress,
neonatal asphyxia and cesarean section rate in of oligohydramnios showed statistically significant differences with
those in other two groups (P<0.05). (3) Surgical indications of the“social factors”in group of oligohydramnios and
group of borderline oligohydramnios showed no statistically significant difference (P>0.05), while these indications in
the two groups were significantly difference form those in group of normal amniotic fluid (P<0.05). Conclusion Oli-
gohydramnios after PPROM has closed relationships with the shorter latent period, intrauterine infection, the increas-
ing risks of neonatal respiratory distress, and neonatal asphyxia. The amniotic fluid volume may be a quite critical
prognostic indicator to assess the outcomes of maternal and neonatal after PPROM occurred.

      【Key words】 Preterm premature rupture of membranes (PPROM); Oligohydramnios; Pregnancy outcomes
基金项目：教育部人文社会科学研究规划资助项目（编号：14YJZH103）