羊水过少97例临床分析

Clinical analysis of 97 oligohydramnious

目的探讨羊水过少的病因相关因素,对围产儿的影响并寻找正确的处理方法,以降低围产儿病死率。方法对本院97例临床资料进行分析。结果羊水过少多发生于40周后,诊断主要靠B超测量羊水指数,羊水过少组与同期羊水正常者比较,胎儿宫内窘迫,新生儿窒息,羊水污染,脐带过短,脐带绕颈发生率增高,有显著性(P<0.01)。结论妊娠达40周后,如无产兆应进行超声监测,羊水过少确诊后适时剖宫产结束分娩,提高围产儿出生质量。

Objective To probe into the cause, related factors of oligohydramnios and effect on perineonate, pursue the correct treatment and reduce the mortality of perinatal infant. Methods 97 cases of oligohydramnios were clinically anaysed. Results Oligohydramnios occurred frequently beyond the 40 weeks of gestation ; amniotic fluid volume were estimated aecuratly by ultrasonography; fetal distress, neonatal asphyxia, meconium-stained amniotic fluid, excessively short cord and nuchal cord in oligohydramnios occurred significantly higher than those in control groups （P 〈 0. 01 ） . Conclusion Cesarean section should be considered necessarily, once oligohydramnios was diagnosed.