妊娠晚期单纯羊水过少经阴道分娩和剖宫产对妊娠结局的作用评价

Effect of Vaginal Delivery and Cesarean Section on Oligohydramnios in the Third Trimester of Pregnancy on Pregnancy Outcomes

目的妊娠晚期产妇可能会出现单纯羊水过少的情况,该文对该病症采用剖宫产和阴道分娩不同的分娩方式,对比其对妊娠结局的影响。方法回顾分析2018年1月—2019年10月期间该院妇产科收治的153例单纯羊水过少患者的临床资料,根据纳入和排除标准,最终有100例被纳入该研究,其中实验组(采用阴道分娩方式)和对照组(采用剖宫产方式)各50例,对比不同分娩方式的妊娠结局。结果从两组产妇妊娠不良事件发生情况来看,实验组(8.00%)明显低于对照组(24.00%),组间差异有统计学意义(χ~2=4.762,P<0.05)。从产妇治疗过程中表现的相关临床指标情况来看,实验组新生儿评分(8.14±1.26)分优于对照组(7.04±1.22)分,组间差异有统计学意义(t=4.435,P<0.05)。实验组新生儿体重与对照组间差异无统计学意义(t=1.246,P>0.05)。实验组羊水指数与对照组比较,差异无统计学意义(t=1.499,P>0.05)。结论针对妊娠晚期单纯羊水过少的患者,采用阴道分娩方式能够大大降低产妇和新生儿的妊娠不良反应,保障产妇和新生儿的安全,达到较好的临床指标,值得在临床实践中应用。

Objective Women in the third trimester of pregnancy may suffer from simple oligohydramnios.In this paper,different delivery methods of cesarean section and vaginal delivery were used to compare their effects on pregnancy outcome.Methods Retrospective analysis in January 2018 to October 2019 were obstetrics and gynecology hospital during the period of the clinical data of 153 cases simple oligohydramnios,according to the inclusion criteria and exclusion criteria,finally in 100 patients were included in this study,the experimental group(using vaginal delivery)and control group(with cesarean delivery way)all the 50 cases,contrast the pregnancy outcome of different delivery methods.Results The incidence of pregnancy adverse events in the experimental group(8.00%)was significantly lower than that of the control group(24.00%),and the difference between the groups was statistically significant(χ2=4.762,P<0.05);the neonatal score of the experimental group(8.14±1.26)points.The score of patients was better than that of the control group(7.04±1.22)points.The difference between the groups was statistically significant(t=8.467,P<0.05).There was not statistically significant difference between the weight of the experimental group and the control group(t=1.246,P>0.05).Compared with the control group,the amniotic fluid index of the experimental group was not statistically different(t=1.499,P>0.05).Conclusion For the patients with simple oligohydramnios in the third trimester of pregnancy,adopting vaginal delivery can greatly reduce the adverse pregnancy reactions of puerpera and neonates,ensure the safety of puerpera and neonates,and achieve better clinical indicators,which is worthy of application in clinical practice.