足月妊娠羊水过少对妊娠结局的影响分析

The impact analysis of term oligohydramnios on pregnancy outcome

目的：探讨足月妊娠的羊水过少对围生儿的影响，寻找恰当的处理方案，以改善母婴的妊娠结局。方法：选取连云港市妇幼保健院2014年1月至2015年1月的92例足月妊娠羊水过少的孕妇作为观察组，随机选择92例羊水量正常的孕足月产妇作为对照组，对这两组病例的孕妇资料进行回顾性分析。结果：观察组中的剖宫产率、试产后剖宫产率及阴道助产率与对照组比较差异具有统计学意义（P〈0．05），观察组中延期妊娠、脐带异常及妊娠期高血压疾病与对照组比较差异具有统计学意义（P〈0．05），观察组中胎儿窘迫、新生儿窒息及羊水污染的发生率明显高于对照组（P〈0．05）。结论：足月妊娠的羊水过少对母婴的危害严重，在孕期应该采取积极、恰当的措施来预防和应对羊水过少，适当放宽剖宫产指征。改善其妊娠结局。

Objective： To investigate the influence of term oligohydramnios on perinatal infant.We try to find the appropriate treatment scheme to improve the maternal-infant outcome. Methods： 92 cases of term oligohydramnios were designated as study group,while 92 cases with normol volume of amniotic fluid as control group. The clinical data of the two groups were retrospectively analyde. Results： In the observation group,the incidence of cesarean section, cesarean section after nature labor failure,surgical midwifery, postponed pregnancy,abnonml umbilical cord and hypertensive disorders complicating pregnancy were significantly higher than that in the control group （P〈0.05）. The incidence rates of fetal distress ,neonatal asphyxia and meconium in study group were significantly than those in the control group （P〈0.05）. Conclusion： Term oligohydramnios may have adverse effects on matemal-infant outcome.We should take active appropriate measures to prevent and respond to oligohydramnios.To improve the pregnancy outcome,the indication cesarean section can be extended when necessary.