146例羊水过少病例的回顾分析

A clinical analysis of 146 cases of oligohydramnios

目的探讨羊水过少发生的原因以及对围生儿的影响，寻找正确的处理方法，降低围生儿病死率。方法选择西安医学院附属医院妇产科2003年11月-2007年7月的146例羊水过少患者病例作为观察组，取同期羊水量正常的146例孕妇作为对照组，对两组的临床资料进行回顾性分析j结果观察组并发症发生率（围生儿窒息为7．53％、死亡率为1．37％，剖宫产率为63．70％）均明显高于对照组，有显著性差异（P〈0．05）。结论羊水过少可导致围生儿窒息，甚至死亡，应及早通过超声检查明确羊水过少的诊断。适时终止妊娠，并适当放宽剖宫产指征。

Objective To explore cause of oligohydramnios and it＇s effects on perineonates, and to find out proper treatments so as to reduce perinatal mortality. Methods 146 pregnant women with oligohydramnios as observation group and other 146 pregnant women with normal amniotic fluid as control group who admitted to Department of Gynecology and Obstetrics, The Affiliated Hospital of Xi＇ an Medical College over a period from November 2003 to July 2007 were enrolled, and clinical data of pregnant women in the two groups were analyzed retrospectively. Results The complication incidence rates in the observation group were：the incidence rate of perinatal asphyxia was 7.53%, the incidence of perinatal mortality was 1.37% and the cesarean section rate was 63.70%, which were significantly higher than those in the control group （ all P 〈 0.05）. Conclusion Oligohydramnios may cause asphyxia even death of the perineonates. The diagnosis of oligohydramnios should be confirmed by ultrasonography early and the pregnancy should be terminated timely if the diagnosis has been confirmed, and the indications of cesarean section delivery should be loosened appropriately.