摘要：目的：探讨头位胎膜早破的妊娠结局。方法：对2002年1月至2003年12月我院171例头位胎膜早破病例进行回顾性分析，并随机抽取同期头位分娩而无胎膜早破的病例200例作对照组进行对比。结果：头位胎膜早破组难产率45.61%，明显高于对照组难产率25%，P<0.05；头位胎膜早破组新生儿窒息率10.53%，明显高于对照组新生儿窒息率4%，P<0.05；头位胎膜早破组早产11例，占6.43%，对照组4例，占2%，X2=4.29，P<0.05；头位胎膜早破组产褥病率12例，占7.01%，对照组5例，占2.5%，X2=3.91，P<0.05，有统计学意义。结论：头位胎膜早破可导致难产率、新生儿窒息率、早产率、产褥病率增高，故应积极预防和治疗胎膜早破，降低其发生率。

    关键词：头位胎膜早破；妊娠结局

    Pregnancy Outcome of 171 Head Position Cases of Premature Rupture of Membranes

    SITU Xiao-mei

    (The People's Hospital of Enping,, Guangdong Enping 529400, China)

    Abstract： Objective: To study the pregnancy outcome of PROM on head position. Method: One hundred of seventy-one cases of head position of PROM lying women were analyzed, including the non-PROM head-position cases as control. Result: The rate of dystocia of PROM cases were 45.61%, 25% higher than those of control. P<0.05; the rate of neonatal asphyxia of PROM was 10.53%, obviously 4% higher than that of the control P<0.05; the cases of premature birth of PROM were 11, up to 6.43%, and 4 cases of the control, accounting for 2%, X2=4.29, P<0.05; the frequency of postpartum infections of PROM were 12 cases, making up 7.01%, while these of the control were 5 cases, 2.5%, X2=3.91, P<0.05is of the statistics importance. Conclusion: The PROM is the cause of higher occurrence of dystocia, neonatal asphyxia, premature birth and post partum infections. Therefore, prevention measures and early treatment of PROM should be taken to reduce its occurrence. ......