适龄孕妇发生未足月胎膜早破的高危因素分析及预防

High-Risk Factor Analysis and Prevention of Preterm Premature Rupture of Membranes in Women of Childbearing Age

摘要: 胎膜早破(premature rupture of membrane, PROM)是指在临产前胎膜自然破裂。孕龄小于37孕周的胎膜早破又称为未足月胎膜早破。未足月胎膜早破(preterm premature rupture of membranes, PPROM)与一系列风险密切相关，如早产、胎儿肺部发育不良、羊水减少、胎儿骨骼发育异常、脑瘫，新生儿神经发育障碍、视网膜病变和支气管肺发育不良，以及产后出血、败血症及母亲的其他并发症等。PPROM的发病机制不明，目前认为是多种因素共同作用的结果，包括生殖道感染、羊膜腔压力过高、胎膜受力异常、外界刺激或外力影响，以及孕妇的营养状况等因素。其中，生殖道感染是导致PROM的主要原因。研究表明，阴道微生态平衡异常可导致病原菌的过度生长，增加胎膜早破的发生风险。

Abstract: Premature rupture of membranes (PROM) refers to the natural rupture of the fetal membranes before labor. The rupture of fetal membranes before 37 weeks of gestation is known as preterm premature rupture of membranes (PPROM). PPROM is closely associated with a series of risks, such as preterm birth, poor fetal lung development, decreased amniotic fluid, abnormal fetal skeletal development, cerebral palsy, neonatal neurodevelopmental disorders, retinopathy, bronchopulmonary dysplasia, as well as postpartum hemorrhage, sepsis, peripheral gangrene, and other maternal complications. The pathogenesis of preterm premature rupture of membranes (PPROM) is not fully understood, but it is currently believed to be the result of multiple factors, including genital tract infections, high amniotic cavity pressure, uneven stress on the fetal membranes, external stimulation or external force influence, and the nutritional status of pregnant women. Among them, genital tract infection is the main cause of PROM. Studies have shown that abnormal vaginal microecological balance can lead to excessive growth of pathogenic bacteria and increase the risk of premature rupture of membranes.