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目的:观察分析羊水过少对围生期结局的影响,总结其临床经验。方法:选取我院2003年1月至2010年12月56例羊水过少的孕妇,设为观察组;再选取同期56例孕检正常的孕妇,设为对照组,观察对比两组孕妇的围生期结局,并观察比较观察组羊水指数(AFI)程度的围生期结局差异。结果:观察组孕妇剖宫产率、羊水III度发生率、产后出血发生率及胎儿宫内窘迫发生率、新生儿窒息率、新生儿缺氧性脑病发生率均显著低于对照组(P<0.05);观察组中AFI<5孕妇的剖宫产率、羊水III度发生率、产后出血发生率及胎儿宫内窘迫发生率、新生儿窒息率、新生儿缺氧性脑病发生率均显著高于AFI5~8孕妇(P<0.05)。结论:羊水过少对孕妇的妊娠结局及围生儿结局有影响,且羊水指数的程度直接影响着母儿并发症及不良结局的发生率,因此,加强产检及时发现、提前预防,且合理选择分娩方式和终止妊娠时机,能最大限度地减少羊水过少不良围生期结局发生。
Objective: To observe the influence of oligohydramnios on perinatal outcome and summarize its clinical experience. Methods: Fifty-six pregnant women with oligohydramnios from January 2003 to December 2010 were selected as the observation group. Another 56 pregnant women with normal pregnancy test were selected as the control group. The outcome was compared with the perinatal outcome of the AFI group. Results: The cesarean section rate, the third degree of amniotic fluid, the incidence of postpartum hemorrhage, the incidence of fetal distress, neonatal asphyxia and neonatal hypoxic encephalopathy in observation group were significantly lower than those in control group (P < 0.05). The incidence of cesarean section, III degree of amniotic fluid, incidence of postpartum hemorrhage and fetal distress, neonatal asphyxia and neonatal hypoxic encephalopathy in AFI <5 pregnant women in observation group were significantly higher AFI5 ~ 8 pregnant women (P <0.05). Conclusion: Too little oligohydramnios affects the pregnancy outcome and perinatal outcome in pregnant women, and the degree of amniotic fluid index directly affects the incidence of maternal and child complications and adverse outcomes. Therefore, it is necessary to strengthen the timely detection and prevention of maternal and childbirth and to make rational choices Mode of delivery and the timing of termination of pregnancy, can minimize oligohydramnios perinatal outcome.