足月妊娠羊水过少152例临床分析

Clinical analysis of full-term pregnancy oligohydramnios in 152 cases

目的分析足月妊娠羊水过少的可能影响因素及结局。方法选择本院收住院的羊水过少者152例作为观察组,随机选择同期羊水量正常足月妊娠孕妇150例作为对照组,对比两组孕妇的胎儿窘迫、羊水污染、新生儿窒息、剖宫产、缺氧性脑病、产后病率、产后出血等发生情况。结果脐带绕颈、男性胎儿、B超胎盘Ⅲ级、子痫前期等为影响羊水过少的相关因素。观察组胎儿窘迫、羊水污染、新生儿窒息、剖宫产、缺氧性脑病、产后病率、产后出血发生率显著高于对照组,结果对比差异有统计学意义。结论脐带绕颈、男性胎儿、B超胎盘Ⅲ级、子痫前期等为影响羊水过少的相关因素,羊水过少时胎儿窘迫、羊水污染、新生儿窒息及缺氧性脑病、剖宫产、产后病率、产后出血发生率显著提高。

Objective To analysis the influence factor and outcomes of full-term pregnancy oligohydramnio.Methods One hundred and fifty-two oligohydramnios cases in our hospital were selected as the observation group,random selection of the same period of 150 normal amniotic fluid full-term pregnancy cases as control group,fetal distress,amniotic fluid contami nation,neonatal asphyxia,cesarean section,anoxic encephalopathy,puerperal morbidity,postpartum hemorrhage were con trasted between the two groups.Results Umbilical cord around the neck,male fetuses,B ultrasound placenta Ⅲ,preeclampsia were affect risk factors of oligohydramnios.The observation groups ＇ fetal distress,amniotic fluid contamination,neonatal asphyxia,cesarean section,anoxic encephalopathy,puerperal morbidity,postpartum hemorrhage incidence rate were significantly higher than the control group,the results were statistically significant.Conclusion Umbilical cord around the neck,male fetuses,B ultrasound placenta Ⅲ,preeclampsia are the effect risk factors of oligohydramnios,oligohydramnios patients＇ fetal distress,amniotic fluid contamination,neonatal asphyxia,cesarean section,anoxic encephalopa thy,puerperal morbidity,postpartum hemorrhage incidence rate are significantly higher.