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目的分析足月妊娠妇女超声检查提示羊水偏少时阴道试产对围生期结局的影响。方法 2005年1月至2009年12月应用羊水指数(AFI)法估测羊水量,分析比较娄底市第一人民医院妇产科202例超声诊断羊水偏少者(观察组)和200例羊水量正常的足月妊娠妇女(对照组)阴道试产后的分娩结局。结果两组新生儿重度窒息发生率和新生儿病死率差异无统计学意义(P>0.05),观察组急诊剖宫产率明显升高(P<0.05)。结论超声诊断羊水偏少的足月妊娠妇女,在严密监护下可行阴道试产。
Objective To analyze the effect of vaginal trial production on the outcome of perinatal period when the amniotic fluid is less than normal in term pregnant women. Methods From January 2005 to December 2009, amniotic fluid index (AFI) was used to assess the amniotic fluid volume. The comparative analysis of 202 cases of gynecology and obstetrics and gynecology in Loudi First People ’s Hospital between the two groups (observation group) and 200 cases of amniotic fluid Normal term pregnant women (control group) vaginal delivery after delivery outcome. Results There was no significant difference in the incidence of neonatal severe asphyxia and neonatal mortality between the two groups (P> 0.05). The rate of cesarean section in the observation group was significantly increased (P <0.05). Conclusions Ultrasound diagnosis of less-term amniotic fluid in full-term pregnant women, feasible vaginal trial under close supervision.