妊娠晚期羊水过少112例临床分析

The Clinical Anaysis on 112 Cases of Terminal Gestation Amniotic Fluid Scarcity

目的:探讨羊水过少的相关因素及围产儿的预后。方法:采用回顾性分析方法,对妊娠晚期羊水过少112例与羊水正常100例进行对比分析。结果:羊水过少多发生在孕40周后,与胎儿宫内发育迟缓(IUGR)和延期、过期妊娠有关;羊水过少组围产儿不良预后明显高于羊水正常组(P<0.01)。结论:妊娠晚期羊水过少是胎儿宫内慢性缺氧的标志,对围产儿预后有严重影响,应加强产前监测。剖宫产是处理妊娠晚期羊水过少及降低围产儿死亡率的重要措施。

Objective:To discuss the correlative factors of amniotic fluid scarcity and the prognosis of fetus. Methods:The retrospective anaysis method was used to make contrastive anaysis between 112 cases of amniotic fluid scarcity and 100 cases of amniotic fluid well-balanced . Results:The amniotic fluid scarcity always occurred at 40 weeks after pregnancy. It was concerned with fetus stunt in uterus, postponed and overdue prognence. The ill prognosis of amniotic fluid scarcity group was higher than that of amniotic fluid well balanced group.(P<0.01).Conclusion:The amniotic fluid scarcity of terminal gestation was the symbol of fetus chronic anoxia in uterus.It has serious influence to the prognosis of fetus. The caesarean birth was the important measure of dealing terminal gestation amniotic fluid scarcity and reducing the obituary ratio of fetus.