论文部分内容阅读
目的:探讨妊娠晚期羊水过少对围生儿的影响,及分娩方式的选择和临床处理方法。方法:对我院2009年1月~12月期间收治的108例羊水过少产妇的临床资料进行回顾性分析,随机抽取同期羊水正常产妇103例作为对照组。比较、分析2组妊娠并发症、围生儿结局、分娩方式。结果:研究组中过期妊娠、妊娠期高血压,胎儿宫内发育迟缓的发生率均显著高于对照组(P<0.05或<0.01);研究组中胎儿窘迫、羊水胎粪污染、新生儿窒息及吸入性肺炎的发生率均显著高于对照组(P<0.05或<0.01);研究组剖宫产(72.2%)显著高于对照组(28.3%),差异有统计学意义。结论:羊水过少确诊后应严密监测,据是否存在高危因素选择最佳方式,可适当放宽剖宫产指征,以改善围生儿预后。
Objective: To investigate the influence of oligohydramnios in late pregnancy on perinatal children, and the choice of mode of delivery and clinical treatment. Methods: The clinical data of 108 cases of oligohydramnios who were treated in our hospital from January 2009 to December 2009 were retrospectively analyzed. 103 normal pregnant women with amniotic fluid during the same period were randomly selected as the control group. Comparison and analysis of 2 groups of pregnancy complications, perinatal outcome, mode of delivery. Results: The incidence of obstructive pregnancy, gestational hypertension and intrauterine growth retardation in the study group were significantly higher than those in the control group (P <0.05 or <0.01). In the study group, fetal distress, amniotic fluid meconium staining, neonatal asphyxia (P <0.05 or <0.01). The incidence of cesarean section (72.2%) in the study group was significantly higher than that in the control group (28.3%), the difference was statistically significant. Conclusions: After oligohydramnios are diagnosed, it should be closely monitored. According to whether the best risk factors are selected, cesarean section indications may be appropriately relaxed to improve the prognosis of perinatal children.