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目的:探讨羊水过少与妊娠并发症的关系及对围生儿的影响。方法:收集该院2006年1月～2007年6月住院治疗的羊水过少孕妇92例,随机抽取同期住院分娩的羊水量正常的孕妇92例孕妇作为对照组,两组病例就妊娠并发症、围生儿情况进行比较。结果:羊水过少组中胎儿生长受限(FGR)、妊娠期高血压疾病、过期妊娠及胎儿畸形的发生率均较对照组高,差异具有显著性,胎儿宫内窘迫、新生儿窒息及羊水粪染的发生率也明显升高,差异非常显著(P<0.01)。伴有妊娠并发症的羊水过少孕妇,其胎儿宫内窘迫及羊水Ⅱ、Ⅲ度粪染率更高。结论:羊水过少与妊娠并发症密切相关,它严重威胁围生儿生命,如果同时合并妊娠并发症则风险更大,羊水过少可作为许多妊娠并发症的危险信号。
Objective: To investigate the relationship between oligohydramnios and pregnancy complications and the impact on perinatal children. Methods: Totally 92 pregnant women with oligohydramnios hospitalized in our hospital from January 2006 to June 2007 were enrolled. 92 pregnant women with normal amniotic fluid during hospitalization were randomly selected as the control group. The two groups were divided into two groups: pregnancy complications, Perinatal situation to compare. Results: Fetal growth restriction (FGR), hypertensive disorder complicating pregnancy, pregnancy overdue pregnancy and the incidence of fetal malformations in the oligohydramnios group were higher than those in the control group. The differences were significant. Fetal distress, neonatal asphyxia and amniotic fluid The incidence of meconium also significantly increased, the difference was significant (P <0.01). Excess amniotic fluid accompanied by complications of pregnancy, pregnant women, fetal distress and amniotic fluid Ⅱ, Ⅲ degree meconium staining rate higher. Conclusions: Oligohydramnios is closely related to pregnancy complications. It is a serious threat to perinatal life. If concurrent pregnancy complications are more risky, oligohydramnios may serve as a danger signal for many pregnancy complications.