未足月羊水过少期待治疗时限与新生儿预后的临床分析

Time limits of expectant treatments for premature oligohydramnios and neonatal prognosis

目的探讨期待治疗时间对于未足月羊水过少孕妇及其新生儿预后的影响。方法2010年9月至2012年6月在茂名市人民医院住院的未足月羊水过少孕妇共78例，对其进行期待治疗，观察期待治疗的时间与新生儿预后之间的关系。结果当期待治疗时间在5天以上者，新生儿的体重显著性增加，平均增加141g（P〈0．05），期待治疗在5天以下者，新生儿体重没有明显变化（P〉0．05）；期待治疗时间在5天以上者，新生儿人住NICU率明显下降，与期待治疗时间在5天以下者相比，差异具有统计学意义（P〈0．05）。结论对于未足月羊水过少孕妇应该尽量进行期待治疗，治疗时限与新生儿预后有一定的关系，时间越长，新生儿预后越好。

Objective To explore the effect of time limits of expectant treatments on pregnant woman with premature oligohydramnio and on neonatal prognosis. Methods 78 pregnant woman with with premature oligohydramnio at gestation weeks of less than 33 weeks received expectant treatments. The relationship between time of expectant treatments and neonatal prognosis was observed. Results With expectant treatment for 5 days or more, the neonatal weight increased significantly with 141g in average （ P 〈 0.05 ） and the rate of NICU stay markedly decreased; while with treatment for less than 5 days, the neonatal weight did not change obviously and the rate of NICU stay elevated, with a statistically significant difference （ P 〈 0.05 ）. Conclusions Expectant treatments should be applied to pregnant women with premature oligohydramnio. The treatment time has some relation with neonatal prognosis. The longer the time, the better the neonatal prognosis.