足月妊娠合并羊水过少166例临床分析

目的：探讨足月妊娠合并羊水过少与产妇妊娠疾病合并症、围产儿预后及分娩方式的相关性。方法选取2012年1月-2013年1月北海市中医医院足月妊娠合并羊水过少的产妇166例作为观察组，同期随机选择足月妊娠且羊水正常的孕妇166例作为对照组，观察羊水过少与、妊娠合并高血压疾病、胎盘功能、过期妊娠、胎儿生长受限（FGR）的相关性，比较2组产妇产时、产后变化，2组围产儿预后和分娩方式的差异。结果观察组与对照组产妇妊娠并发症、分娩方式、产时产后变化比较，差异有统计学意义（P〈0.05）；2组围产儿预后比较，差异有统计意义（P〈0.05）。结论妊娠晚期羊水过少属于高危妊娠一种，应加强宣传产妇产检意识，严密监护产妇孕晚期各方面状况，及时选择最佳分娩方式，这样可减少产妇及围产儿并发症的发生，改善产妇及围产儿预后。

Objectivce To investigate the correlation between coexisting oligohydramnios on maternal disease of pregnancy complications, perinatal prognosis and mode of delivery in term pregnancy. Methods RandomLy selected in the hospital from 2012 January to 2013 January in full-term pregnancy with oligohydramnios maternal 166 cases as the observation group, randomLy selected full-term pregnancy and amniotic fluid in 166 cases of normal pregnancy as control group,observation of oligohydramnios and pregnancy induced hypertension, placenta, with function,pregnancy, fetal growth restriction （FGR） correlation, comparison two groups of maternal postpartum, change, difference in prognosis and mode of delivery on the two group. Results The observation group and the control group of maternal complications of pregnancy, delivery mode,intrapartum and postpartum changes had significant difference （P〈0.05）, statistically significant difference between the two groups in the prognosis of perinatal fetus （P〈0.05）. Conclusion Oligohydramnios in late pregnancy is a high risk pregnancy, should strengthen propaganda labor inspection awareness, intensive care, maternal pregnancy and various aspects condition, to choose the best mode of delivery, can reduce maternal and perinatal complications, improve maternal and perinatal prognosis.