羊水过少604例临床分析

Clinical analysis of 604 parturients with oligohydramnios

目的探讨羊水过少的产妇分娩方式、孕产期并发症及对围生儿的影响。方法采取回顾性研究的方法,选择该院2009年1月至2013年1月羊水过少的产妇604例,并与同期羊水正常的产妇就分娩方式,孕产期并发症和围生儿情况作比较。结果羊水过少组的产妇,剖宫产的比例、孕产期合并症和围生儿异常明显高于对照组,差异有统计学意义(P<0.05);羊水过少的产妇,分娩时失血量剖宫产组明显高于阴道分娩组,差异有统计学意义(P<0.05)。结论妊娠女性应及时检测羊水量,发现异常及时诊断、处理,对于诊断明确的孕妇,可以实行阴道分娩,降低失血和剖宫产率。

Objective To explore the delivery pattern ,complications and impact on perineonate of oligohydramnios .Methods A total of 604 parturients with oligohydramnios admitted to hospital from January 2009 to January 2013 were retrospectively compared with nor-mal parturients in terms of delivery pattern ,complications and impact on perineonate .Results The cesarean section rate ,complication and perinatal abnormality of parturients with oligohydraminos were significantly higher than those of normal parturients （P〈0.05）.In parturients with oligohydraminos ,the bleeding volume at delivery was significantly higher in cesarean section group than that in vaginal delivery group（P〈0.05）.Conclusions Amniotic fluid quantity should be detected regularly during pregnancy .Abnormal conditions should be diagnosed and treated in time .Once diagnosed as oligohydramnios ,parturients could receive vaginal delivery to reduce bleed-ing volume and cesarean section rate .