妊娠并发羊水过少59例分析

Clinical analysis 59 oilgohydraminos in pregnancies

目的探讨妊娠并发羊水过少与妊娠结局的相关性。方法采用回顾性分析方法,对妊娠分娩的孕产妇羊水正常组150例及羊水过少组59例进行对比分析。结果羊水过少组中羊水Ⅱ度以上粪染,胎儿窘迫、新生儿窒息、胎儿生长受限率及剖宫产率均显著高于羊水正常组。结论羊水过少是胎儿宫内慢性缺氧最敏感的特异性指标,宜剖宫产结束分娩。

Objective： To analyse the effects of oligohydramnios in pregnancies on both mothers and their babies. Methods： We retrospectively reviewed the records of 59 multiparas in pregnancies. Women were divided into two groups （ oilgohydramnios group n = 59, nonnal amniotic fluid group n = 150）. Characteristion of amniotic fluid, fetal distress, asphyxia neonatorum fetal growth retardation and cesarean section were compared between these two groups. Results： The rate of amniotic fluid turbidity Ⅱ - Ⅲ degree, fetal distress, asphyxia neonatorum and cesarean section in oligohydramnios group were significantly higher than those in nornal amniotic fluid group （ P 〈 0. 05）. Conclusion： In pregnancies or prolonged pregnancies, oligohydramnios is a most specific and sensitive marder to diagnostic chronic fotal anoxia in uterus. Once it is accurately diagnosed, we must actively terminated the pregnancy. Cesarean section should be the first choice.