摘要
目的探讨羊水过少对母婴的影响及有效预防、处理措施。方法回顾性分析2002年1月至2006年5月332例羊水过少病例,对其妊娠并发症、分娩方式及新生儿情况等方面进行分析。结果羊水过少组中胎儿宫内窘迫、新生儿窒息比羊水正常组明显增加(P<0.05或P<0.01)。过期妊娠、胎儿宫内生长受限、先兆子痫及胎盘功能减退与羊水过少密切相关,与对照组比较差异有显著性(P<0.01)。羊水过少病例中,行剖宫产的新生儿窒息发生率较阴道分娩显著减少。结论加强围生期保健,及时发现造成羊水过少的产科高危因素,加强羊水过少产前及产时监测,避免羊水过少对围生儿造成严重影响,一旦确诊,应积极引产,引产过程中严密监测胎心及羊水情况,适当放宽剖宫产指征,降低新生儿窒息的发生率,改善不良围生儿结局。
Aim To study on the effects of oligohydramnios on pregnant woman and newborn infant. Methods A retrospective review was made of 332 pregnant women who underwent oligohydramnios in our hospital from January ,2002 to May ,2006. Pregnant complication, ways of delivery and newborns＇ Apgar score were analyzed. Results In the oligohydramnios group,the ratio of newborn death,fetal distress ,neonatal asphyxia was significantly higher than those in the normal control group （P 〈0.05 or P 〈0.01 ）. Moreover, there was great change in the ratio of prolonged pregnancy, FGR, pregnancy - induced hypertension syndrome and placental insufficiency between oligohydranmios group and control group（ P 〈 0. 01 ）. Caesarean section can significantly attenuate the ratio of fetal distress. Conclusion Prenatal monitoring of oligohydramnios should be strengthened. The caesarean section is the best way to prevent severe oligohydramnios.
出处
《安徽医药》
CAS
2007年第12期1116-1117,共2页
Anhui Medical and Pharmaceutical Journal
关键词
羊少过少
妊娠并发症
新生儿窒息
oligohydramnios
pregnant complication
neonatal asphyxia
