探讨母体水化疗法对妊娠晚期羊水过少患者的治疗效果

Investigation of Treatment Effect of Maternal Hydration Therapy for Patient with Oligohydramnios in Late Pregnancy

目的:分析母体水化疗法对妊娠晚期羊水过少患者的治疗效果。方法:选取2015年8月-2017年3月本院收治的妊娠晚期羊水过少患者80例,按照随机数字表法将其分为对照组和研究组,各40例。研究组接受母体饮水疗法治疗,对照组接受静脉补液治疗。比较两组治疗前后的羊水指数(AFI)、分娩方式、新生儿状况及出血情况。结果:治疗前后,两组AFI比较,差异均无统计学意义(P>0.05),治疗后两组AFI值均高于治疗前(P<0.05);两组产前助产率比较差异无统计学意义(P>0.05);研究组急诊剖宫产率为22.50%,低于对照组的42.50%,阴道分娩率为77.50%,高于对照组的57.50%,比较差异均有统计学意义(x^2=4.528,P=0.033);两组新生儿Apgar评分1~3分、体重比较,差异均无统计学意义(P>0.05),研究组新生儿Apgar评分4~6分及吸入性肺炎均少于对照组(P<0.05);研究组产时出血量及产后2 h出血均少于对照组,比较差异均无统计学意义(P>0.05)。结论:母体水化疗法治疗妊娠晚期羊水过少疗效良好,且经母体饮水的安全性更高,可明显增加其羊水量,改善分娩结局,降低新生儿并发症,值得应用。

Objective:To analyze the treatment effects of maternal hydration therapy for patient with oligohydramnios in late pregnancy.Method:A total of 80 patients with oligohydramnios in late pregnancy from August 2015 to March 2017 in our hospital were selected,according to the random number table method,they were divided into control group and study group,40 cases in each group.The study group was treated with maternal drinking water therapy,and the control group was treated with venous rehydration.The AFI before and after treatment,mode of delivery,condition of the newborn and bleeding of pregnant women between the two groups were compared.Result:Before and after treatment,the AFI of two groups were compared,the differences were not statistically significant(P>0.05),after treatment,the AFI of two groups were all higher than those of before treatment(P<0.05).The rate of antenatal midwifery in two groups was compared,the difference was not statistically significant(P>0.05),the rate of emergency cesarean section in study group was 22.50%,which was lower than 42.50%of control group,and the vaginal delivery rate was 77.50%,which was higher than 57.50%of control group,the differences were statistically significant(Χ2=4.528,P=0.033).The 1-3 points of Apgar scores and weight in two groups were compared,the differences were not statistically significant(P>0.05),the 4-6 points of Apgar scores and aspiration pneumonia in study group were less than those of control group(P<0.05).The intrapartum bleeding volume and 2 h postpartum hemorrhage in study group were less than those of control group,but the differences were not statistically significant(P>0.05).Conclusion:Maternal hydration therapy is effective in treatment of late pregnancy with oligohydramnios,and is more safe by the maternal drinking water,can significantly increase the amniotic fluid volume,improve the delivery outcome and reduce neonatal complications,which is worthy of application.