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目的探讨羊水过少对母婴的危害及正确的处理方法。方法对羊水过少组119例及羊水量正常(对照组)180例临床资料进行回顾性分析。结果羊水过少的发生率为3.4%,妊娠并发症中妊娠高血压疾病21例,占17.7%;胎儿宫内生长受限20例,占16.8%;脐带缠绕36例,占30.3%;羊水粪染17例,占14.3%;新生儿窒息11例,占9.3%;胎儿窘迫24例,占20.2%;产前B超诊断率92.4%。结论羊水过少对母婴危害较大,羊水过少确诊后,应结合是否高危因素、胎心监护以及宫颈条件等情况综合分析,适时选择剖宫产结束分娩较阴道分娩相对安全。
Objective To investigate the harm of oligohydramnios to maternal and infant and the correct treatment. Methods The clinical data of 119 cases with oligohydramnios and 180 cases with normal amniotic fluid volume (control group) were retrospectively analyzed. Results The incidence of oligohydramnios was 3.4%. Pregnancy-induced complications of pregnancy-induced hypertension were found in 21 cases (17.7%), intrauterine growth restriction in 20 cases (16.8%), umbilical cord entanglement in 36 cases (30.3%), amniotic fluid excrement 17 cases were stained, accounting for 14.3%; neonatal asphyxia in 11 cases, accounting for 9.3%; fetal distress in 24 cases, accounting for 20.2%; prenatal B-ultrasound diagnosis rate was 92.4%. Conclusions Excess amniotic fluid is more harmful to mothers and infants. After the diagnosis of oligohydramnios is too small, a comprehensive analysis should be made on whether high risk factors, fetal monitoring and cervical conditions are appropriate. Choosing cesarean section at the right time is more safe than vaginal delivery.