93例羊水过少产妇的临床分析

Clinical Analysis of 93 Pregnant Women with Oligohydramnio

目的探讨妊娠晚期羊水过少对围生儿预后的影响。方法选取合肥市第二人民医院2009年7月至2010年6月住院分娩孕妇羊水过少93例患者,并随机抽取同期分娩羊水量正常的孕妇100例,比较分析羊水过少对围生儿及分娩结局的影响。结果羊水过少组出现的胎儿窘迫率、胎粪污染率、新生儿窒息率均高于对照组,差异有统计学意义(P<0.05),且剖宫产率明显升高(P<0.05)。结论妊娠晚期羊水过少是胎儿宫内慢性缺氧的特异性指标,应积极作胎儿电子监护并及时剖宫产终止妊娠。

Objective To explore the effects of oligohydramnios in the late trimester of pregnancy on perinatal infants.Method 93 pregnant women with oligohydramnios,admitted from July 2009 to June 2010,were involved in present study,and homochronous 100 pregnant women with normal volume of amniotic fluid were enrolled as control group.The clinical data were analyzed to evaluate the influence of oligohydramnios on perinatal infants and on the outcome of delivery.Results Occurrence of fetal distress,meconium-contaminated amniotic fluid,apnoea neonatorum were obviously higher in the oligohydramnios group than those in control group（P0.05）,the rate of cesarean section was much higher in oligohydramnios group than that in the control group（P0.05）.Conclusions Oligohydramnios in the late trimester of pregnancy is a specificity index of fetal distress.Actively fetal electric custody is essential,and it is important to choose cesarean section to terminate the pregnancy timely.