羊水偏少孕妇阴道试产120例临床分析

Analysis of 120 Cases of Trial Labor with Borderline Oligohydramnios

目的:分析足月妊娠妇女B超检查羊水偏少时,阴道试产对围产结局的影响。方法:应用羊水指数(AFI)法估测羊水量,足月妊娠妇女产前3天内B起检查为羊水偏少,无其它高危因素,经引产成功或自然临产而行阴道试产的120例为观察组,并随机抽取同期B超检查羊水量正常、无明显高危因素的足月妊娠初产妇阴道分娩120例作为对照组。结果:两组新生儿窒息发生率和新生儿死亡率差异无显著性(P>0.05),研究组急诊剖宫产率明显升高(P<0.05)。结论:B超诊断羊水偏少的足月妊娠妇女,如果产前综合监护正常,且无其它高危因素,在严密观察下可行阴道试产。

Objective： To analyse oligohydrarrmios while in mature gestation B ultrasonic wave, the vagina is trial of labor to enclosing the influence which produces the final result. Method ： Use amniotic fluid index （AFI） law is it examine sheep water yield to estimate , mature antenatal 3 days , woman of gestation , 13 gets up to check oligohydramnios have other high to endanger factor ,walk 120 that vagina trial of labor for observe group just before giving birth naturally by induced labor success, collect 13 ultrasonic wave check sheep to be water yield normal having obviously high to endanger mature gestation of factor lying - in woman＇s vagina give a birth 120 as contrast group for the first time in the same term at random. Result： Two groups of neonates suffocate the incidence and neonate＇ s death rate difference have no significance （ P 〉 0.05 ）, seminar＇ s emergency call cuts open the producing rate of the palace and obviously rises （P 〈 0.05 ）. Conclusion： Diagnoses the oligohtdramnios of mature gestation women, if guard antenatally synthetically in B ultrasonic wave, and there is not other that endanger the factor high , is observing and putting the feasible vagina to trial of labor tightly.