羊水过少围产儿345例预后及分娩方式探讨

STUDY ON THE DELIVERY MODE AND PROGNOSIS OF THE PERINATAL NEONATE WITH OLIGOHYDRAMNIOS

目的 :探讨改善羊水过少围产儿预后 ,降低死亡率的终止妊娠方法。方法 :抽取 1 988年 3月～ 1 966年 1月间住院分娩产妇 9472例 ,其中羊水过少 345例 ,发生率 3.65%。对 345例羊水过少围产儿预后及分娩方式进行探讨。结果 :345例羊水过少 ,经阴分娩 1 53例 ,剖宫产 1 92例 ,剖宫产率为 55.65%。胎儿窘迫 1 43例 (41 .2 % ) ,新生儿窒息 1 85例 (53.6% ) ,新生儿死亡 1 4例 (4.1 % )。对照组 50 0例 ,胎儿窘迫 34例(6.8% ) ,新生儿窒息 34例 (6.8% ) ,新生儿死亡 4例 (0 .8% ) ,两组相比羊水过少组围产儿发病率显著升高(P<0 .0 5,P<0 .0 1 )。结论 :羊水过少胎儿窘迫 ,新生儿窒息及死亡率均高 ,适时剖宫产能改善围产儿预后。

Objective:To find the suitable mode of delivery to improve the perinatal outcome in pregnancy with oligohydraminos.[WT5HZ]Methods:9 470 cases of parturition from Mar 1988 to Jan 1996 were selectedlyed,in which 345 cases with oligohydramnios were analysed for the mode of delivery and perinatal outcome.[WT5HZ]Results:The cesarean delivery rate of the study group was 55.65%,the fetal distress rate,neonatal asphyxia rate and neonatal death rate in study group and control group were as follws:41.2%(143/345)vs 6.8%(34/500),53/6%(185/345)vs 6.8%(34/500),4.1%(14/345) vs 0.8%(4/500).There was significantly higher morbidity rate in the study group.[WT5HZ]Conclusion:There is a higher perinatal morbidity rate in pregnancy with oligohydraminos and cesarean delivery at suitabls time can result in an improved perinatal outcome. [WT5HZ]