静脉补液治疗晚期妊娠可疑羊水过少的临床效果

Clinical effect of intravenous infusion in treating oligohydramnios of late pregnancy

目的探讨静脉补液治疗妊娠晚期可疑羊水过少的临床效果。方法选取四川省盐边县第二人民医院2014年11月—2016年11月收治的可疑羊水过少妊娠晚期孕妇100例,按照随机数字表法分为对照组和试验组,各50例。对照组孕妇未给予相关治疗,试验组孕妇进行静脉补液治疗,持续治疗3~5 d。比较两组孕妇治疗前后最大羊水池深度(AID)和羊水指数(AFI)以及羊水粪染、宫内窘迫、新生儿窒息和剖宫产发生率。结果治疗前后两组孕妇AID与AFI比较,差异无统计学意义(P>0.05);治疗后两组孕妇AID与AFI高于治疗前(P<0.05)。试验组孕妇围生儿羊水粪染、宫内窘迫、新生儿窒息发生率及剖宫产率低于对照组(P<0.05)。结论静脉补液治疗妊娠晚期可疑羊水过少的临床效果确切,可有效改善羊水量和妊娠结局,安全性高。

Objective To explore the clinical effect of intravenous infusion in treating oligohydramnios of late pregnancy.Methods A total of 100 cases of oligohydramnios of late pregnancy patients were selected from November 2014 to November 2016 in Second People ＇s Hospital of Yanbian County,which were randomly divided into control group and experimental group according to random number table,50 cases in each group.Control group was not given related treatment,experimental group was given intravenous infusion.The AID,AFI before and after treatment and the incidence of amniotic fluid fecal contamination,intrauterine distress,neonatal asphyxia and cesarean section were compared between the two groups.Results Before and after treatment,no statistically significant differences of AID or AFI was found between the two groups（P〉0.05）;after treatment,the two groups of AID,AFI were higher than prior treatment（P〈0.05）.The rate of amniotic fluid fecal contamination,intrauterine distress,neonatal asphyxia and cesarean section of experimental group were lower than control group（P〈0.05）.Conclusion Intravenous infusion has an exactly clinical effect in treating oligohydramnios of late pregnancy,it can effectively improve the amniotic fluid volume and pregnancy outcome,and with high safety.