羊水过少117例临床分析

Clinical analysis on 117 cases of amniotic fluid

目的:探讨羊水过少现象出现的原因以及相关因素。方法:对117例羊水过少患者临床资料进行分析。结果:40周以后是羊水过少现象的高发阶段;B超检查准确率高达95%,妊高征和胎儿宫内生长迟缓是出现频率最高的妊娠并发症;相比于对照组,羊水过少脐带缠绕、脐带过短情况发生概率以及新生儿窒息率要稍高一些(P<0.01)。随着羊水量的逐渐减少,羊水粪染率、胎儿窘迫情况发生的概率会越来越高。结论:在明确了羊水量之后,应采用剖宫产的方式结束分娩。

Objective:To investigate the causes and related factors on the phenomenon of amniotic fluid.Methods:117 cases with amniotic fluid were selected,then their clinical data was analyzed.Results:The high incidence of amniotic fluid was at the stage of 40 weeks after pregnancy;ultrasonography accuracy rate was as high as 95% ;pregnancy induced hypertension(PIH) and fetal intrauterine growth retardation were the highest frequency of pregnancy complications;compared with the control group,oligohydramnios umbilical cord entanglement,umbilical cord too short occurrence probability and neonatal asphyxia rate is slightly higher(P<0.01).With the gradual decrease of amniotic fluid volume,the probability occurrence of stained amniotic fluid and fetal distress would be more and more high.Conclusion:After the amniotic fluid volume clarify a diagnosis,cesarean section should be taken to terminate the pregnancy.