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目的探讨羊水过少对产妇分娩方式的影响,并观察和分析其母婴结局,为临床预防和治疗提供客观依据。方法选择91例羊水过少产妇作为观察组,随机选取同时期正常产妇150例作为对照组,观察两组产妇分娩方式、不同破膜时间临产率及母婴结局。结果观察组自然分娩率低于对照组(28.57%vs 62.00%),差异具有统计学意义(P<0.05);观察组剖宫产率高于对照组(60.44%vs 26.67%),差异具有统计学意义(P<0.05);观察组破膜时间≤48 h临产率高于对照组(67.03%vs 16.67%),两组比较,差异具有统计学意义(P<0.05);观察组破膜时间48 h~7天和>7天临产率均低于对照组(32.97%vs74.67%、8.67%),两组比较,差异具有统计学意义(P<0.05);观察组围生期胎儿窘迫、羊水污染、新生儿窒息、脐带绕颈和产后出血发生率均高于对照组,两组比较,差异具有统计学意义(P<0.05);观察组新生儿Apgar评分为低于对照组,两组比较,差异有统计学意义(P<0.05)。结论羊水过少产妇剖宫产发生率显著增加,围生期并发症较多,威胁围生儿的生命健康,对羊水过少产妇采取正确的分娩方式,以改善母婴结局。
Objective To investigate the effect of oligohydramnios on maternal delivery mode and to observe and analyze its maternal and infant outcomes so as to provide an objective basis for clinical prevention and treatment. Methods 91 cases of oligohydramnios as the observation group were randomly selected 150 cases of normal women at the same period as a control group, observe the mode of delivery of the two groups, different rupture time and maternal and infant outcomes. Results The rate of natural childbirth in the observation group was lower than that in the control group (28.57% vs 62.00%, P <0.05). The rate of cesarean section in the observation group was significantly higher than that in the control group (60.44% vs 26.67%) (P <0.05). The rupture time of the observation group was higher than that of the control group (≤ 48 h) (67.03% vs 16.67%), the difference was statistically significant (P <0.05) 48 h ~ 7 days and> 7 days were lower than the control group (32.97% vs74.67%, 8.67%), the difference between the two groups was statistically significant (P <0.05); observation group perinatal fetal distress , Amniotic fluid contamination, neonatal asphyxia, umbilical cord around the neck and postpartum hemorrhage incidence were higher than the control group, the difference between the two groups was statistically significant (P <0.05); Apgar score was lower than the control group, two The difference was statistically significant (P <0.05). Conclusion Maternal oligohydramnios incidence of cesarean section increased significantly, more perinatal complications, threatening the health of perinatal children, maternal oligohydramnios correct mode of delivery to improve maternal and infant outcomes.