羊水过少产妇68例临床分析

Oligohydramnios 68 cases of maternal

目的探讨羊水过少的高发期和正确诊断方法，以及对围产儿的影响和分娩方式的选择。方法对我院2008年1月至2009年12月收冶的羊水过少产妇68例临床资料进行分析，并与正常羊水组组进行对比，并统计数据结果。结果我院羊水过少发生率为2．98％，多发生在妊娠40周以后，B超检测AFD在≤2．0cm时，与实际羊水过少符合率为97．5％；2．0～3．0cm时为82．1％；羊水减少组择期剖宫产和急诊剖宫产率均显著高于对照组（P〈0．01）；阴道分娩的成功率明显低于对照组（P〈0．01）；其胎儿宫内窘迫、胎儿宫内发育迟缓、新生儿窒息及吸人性肺炎发生率明显高于正常分娩组（P〈0.05）.结论孕40周后应常规加强羊水量监测；羊水过少程度与胎儿宫内缺氧窒息和围生儿病死率有直接关系。羊水过少最好以剖宫产结束妊娠为宜。

Objective To investigate the high incidence of oligohydramnios and the correct diagnosis of, and the pefinatal delivery mode options. Methods From January 2008 to December 2009 were, treated 68 eases of oligohydramnios maternal clinical data analysis, and groups with normal amniotic fluid groups were compared, and statistical data .Results. Finally, I happened oligohydramnios was 2.98%, mostly occurred after 40 weeks of pregnancy, B ultrasound in AFD in ≤2.0cm, the actual compliance rate of oligohydramnios 97.5%; 2.0 - 3.0cm when 82.1%; amniotic fluid reduction and emergency cesarean seetiangroup were significantly higher cesarean section （P 〈0.01）; the success rate of vaginal delivery was significantly lower than the control group （P 〈0.01）; of fetal distress, fetal growth retardation, neonatal asphyxia, and aspiration pneumonia were significantly higher than the normal delivery group （P 〈0.05）. Conclusions After 40 weeks gestation amniotic fluid volume should be routinely strengthen monitoring; the degree of oligohydramnios and intrauterine hypnxia and asphyxia perinatal mortality of children is directly related to ofigohydramnios pregnancy is best suitable to the end of cesarean section.