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胎膜早破相关危险因素分析与护理对策 预览 被引量:4

Analysis of risk factors related to premature rupture of membranes and its nursing strategies
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摘要 目的研究胎膜早破的相关危险因素及有效的护理对策。方法选取2014年7月至2017年7月于我院就诊并生产的孕产妇为研究对象,其中68名胎膜早破的孕产妇为观察组,与其同期的正常分娩者62例为对照组。回顾分析两组研究对象的临床资料,对多胎妊娠、妊娠期合并高血压、妊娠期合并糖尿病、子宫畸形、阴道炎或宫颈炎、胎位异常、感染等情况进行分析。结果两组孕产妇在多胎妊娠、妊娠期合并高血压、妊娠期合并糖尿病、阴道炎/宫颈炎既往史、孕期感染等方面比较差异有统计学意义(P<0.05);在子宫畸形、胎位异常等方面比较差异无统计学意义(P >0.05)。经多因素logistic回归分析发现,多胎妊娠、感染是胎膜早破的独立危险因素(P<0.05)。结论多胎妊娠、孕期产妇感染均是胎膜早破的危险因素,临床应针对以上因素密切宣教,积极预防,采取相应干预措施,以改善母婴结局。 Objective To study the risk factors associated with premature rupture of membranes and its effective nursing strategies.Methods The maternal women who were treated and gave birth to babies in our hospital from July 2014 to July 2017 were selected as the study subjects.Among them,68 pregnant women with premature rupture of membranes were selected as the observation group,and 62 cases of normal delivery women were selected as the control group.The clinical data of the two groups were analyzed retrospectively.Meanwhile,situations such as the multiple pregnancy,hypertensive pregnancy,pregnancy with diabetes,uterine malformation,vaginitis or cervicitis,abnormal fetal position,infection and other conditions were analyzed.Results There were significant statistical differences in multiple pregnancy,pregnancy with hypertension,pregnancy with diabetes,previous history of vaginitis/cervicitis,and infection during pregnancy(P<0.05).There were no significant statistical differences in uterine malformation and abnormal fetal position(P >0.05).The multivariate logistic regression analysis showed that multiple pregnancy and infection were independent risk factors for premature rupture of membranes(P<0.05).Conclusion Multiple pregnancy and maternal infection during pregnancy are risk factors for premature rupture of membranes.The clinical should be targeted to the above factors closely,and conduct prevention actively.Also appropriate intervention measures should be adopted to improve maternal and children situations during maternal delivery.
作者 文瑞芬 张浩利 杨瑞巧 WEN Rui-fen;ZHANG Hao-li;YANG Rui-qiao
出处 《护理实践与研究》 2018年第14期75-77,共3页 Attend to Practice and Research
关键词 胎膜早破 危险因素 妊娠 护理对策 Premature rupture of membranes Risk factors Gestation Nursing countermeasures
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