羊水过少124例临床分析

Clinical Analysis of 124 Oligohydramnios

目的：探讨羊水过少的相关因素及其对妊娠结局的影响。方法：对我院2005年1月-2008年12月收治的124例羊水过少病例（观察组）的临床资料进行回顾性分析，并将同期羊水量正常孕妇（对照组）进行对照。比较两组妊娠相关因素及对妊娠结局影响的差异。结果：羊水过少主要相关因素是过期妊娠、妊娠期高血压疾病、胎儿生长受限、脐带异常。观察组的胎儿窘迫、羊水Ⅱ～Ⅲ粪染、早产、新生儿窒息及低体重儿的发生率均明显高于对照组（P〈0．05）。结论：羊水过少与围生儿发病率及剖宫产率增高明显相关。应加强对羊水过少孕妇产前监护，根据羊水检查结果综合判断做好适当分娩处理，改善围生儿预后。

Hospital January 2005-December 2008 admitted 124 cases of oligohydramnios cases（observation group）were retrospectively analyzed clinical data, and anmiotic fluid volume over the same period in normal pregnant women（control group） were compared. Compared two groups of pregnancy-related factors and the impact on pregnancy outcome differences. Results：Oligohydrarnnios major relevant factor is the date of pregnancy, pregnancy induced hypertension, fetal growth restriction, umbilical cord abnormalities. The observer group of fetal distress, meconium-stained amniotic fluid Ⅱ-Ⅲ, premature birth, neonatal asphyxia and low birth weight infants were significantly higher than the control group （P〈0. 05）. Conclusion：Oligohydrarmaios and perinatal morbidity and cesarean section rate increased significantly correlate＆ Should be strengthened too little amniotic fluid of pregnant women prenatal care, according to the results of a comprehensive examination of amniotic fluid to determine the appropriate delivery good deal to improve the perinatal prognosis.