【摘要】 目的 探讨胎膜早破对围生期的影响。方法 采用回顾性分析方法，对310例胎膜早破产妇从病因学、分娩方式以及并发症等方面进行分析。结果 胎膜早破的发生率为9.6%。孕28~36+6周时，感染是引起胎膜早破的首要原因，而在≥37周的孕妇中，头盆不称是引起胎膜早破的主要原因。胎膜早破也是引起宫内感染和难产的主要原因。结论 胎膜早破为围生期常见的并发症，要重视对不同孕周胎膜早破的正确处理。

    【关键词】 胎膜早破；围生期；难产；剖宫产

    Effects of premature rupture of membranes on perinatal health

    WEI Li-cong,LU Yu-lian,ZHANG Feng-ge,et al.

    Department of Obstetrics and Gynecology,Maternity and Child Care Hospital,Shunyi District,Beijing 101300,China

    【Abstract】 Objective To study the effects of premature rupture of membranes(PROM) on perinatal health.Methods 310 patients with PROM were analyzed retrospectively with regard to etiology,delivery way and complications.Results Incidence of PROM was 9.6%.Infection played the most important role during 28~36+6 pregnant week in PROM.Cephalopelvic disproportion was main reason of PROM when pregnant week exceed 37.Conclusion To decrease the risk factors of infection which lead to PROM,we should pay more attention to PROM in different gestational age,including the correct application of oxytocin,steroids and antibiotics,and the appropriate selection of the time and the way of terming pregnance.The treatment scheme should be made according to the patients’ pregnant week,and modified to fit different patients. ......