【摘要】 目的 探讨理想的未足月胎膜早破孕妇的会阴护理方法。方法
将97例未足月胎膜早破孕妇分为观察组和对照组，观察组用生理盐水冲洗，对照组用碘伏消毒，两组孕妇的孕周、年龄均无差异，且均无妊娠合并症和并发症。结
果
两组孕妇的产前感染、羊膜腔感染、产褥病率差异均无显著性，但在会阴部异味的观察差异有显著性(P<0.05)，会阴部分泌物的观察差异有非常显著
性(P<0.01)。结论 "生理盐水冲洗法"可用于未足月胎膜早破孕妇的会阴护理，不增加产前、产后的感染，孕妇感到清爽舒适。
【关键词】 生理盐水;未足月胎膜早破;会阴护理;感染
[Abstract] Objective To investigate the proper method of perineal
management in pregnant women with preterm premature rupture of fetal
membranes.Methods 97 cases of pregnant women with preterm premature
rupture of fetal membranes were divided at random into study group or
control group. The perineum of women in study group was flushed by
physiological saline, while in control group perineum was treated with
iodophor. Between two groups, there were no differences of ages,
gestational weeks, or complications of pregnancy.Results Between two
groups, there were no significant differences of antepartum infections,
amniotic infections, or puerperalism. But there were significant
differences of perineal odors (P<0.05) and perineal secretions
(P<0.01).Conclusion Perineal flushing with physiological saline can
be used as proper managements in pregnant women with preterm premature
rupture of fetal membranes. Besides pleasing the pregnant women, it will
not increase the rates of antepartum or postpartum infection.
[Key words] physiological saline;preterm premature rupture of fetal membranes;perineal management;infection
未足月胎膜早破(preterm premature rupture of fetal
membranes，PPROM)指发生在妊娠28～37周胎膜自然破裂，是威胁母婴健康的产科严重并发症，其发生率为2.0％～3.5％
[1]，PPROM对母体最严重的并发症是感染。因此时孕周尚小，必须经过几周甚至几个月的卧床保胎时期，采取积极有效的产前会阴护理，可以降低
PPROM的危害，增加保胎成功率。本文对我院2007年2月-2008年12月住院分娩的PPROM产妇行两种会阴护理法，现将结果报道如下。
1 资料与方法
1.1 研究对象 收集2007年2月-2008年12月在上海市长宁区中心医院住院分娩的PPROM产妇97例，年龄平均(26.5 ± 3.8)岁，孕龄平均(33.2 ± 1.2)周，均适合PPROM期待疗法，无其他妊娠合并症和并发症。
作者：姜兰英|唐龙英|林晓丽 单位： 来源：上海市长宁区中心医院妇产科
