补液治疗对妊娠晚期羊水减少孕妇妊娠结局的影响

Effect of rehydration therapy on pregnancy outcome of pregnant women with decreased amniotic fluid in late pregnancy

目的:探讨补液治疗对妊娠晚期羊水减少孕妇的疗效及妊娠结局的影响。方法:选择我院2019年1月至2020年12月间收治的128例妊娠晚期羊水减少孕妇为研究对象。将其随机分为对照组和观察组,每组64例。对照组给予常规治疗,此基础上,观察组给予补液治疗,比较两组治疗前后AFI、羊水最大深度变化及妊娠结局。结果:治疗前,两组孕妇AFI、羊水最大深度比较无明显差异(P>0.05);治疗5天后,两组孕妇AFI、羊水最大深度相较于治疗前均显著上升(P<0.05),观察组孕妇AFI、羊水最大深度均高于或深于对照组(P<0.05);观察组吸入性肺炎发生率、新生儿窒息发生率均低于对照组(P<0.05);两组剖宫产率、经阴道产率、畸形发生率及胎儿窘迫发生率比较差异无统计学意义(P>0.05)。结论:补液治疗可显著提高妊娠晚期羊水减少孕妇AFI、羊水最大深度,改善母婴结局,临床疗效好,可进行推广应用。

Objective:To investigate the effect of rehydration therapy on late pregnancy with amniotic fluid reduction and pregnancy outcome.Methods:128 pregnant women with amniotic fluid reduction in the third trimester of pregnancy in our hospital from January 2019 to December 2020 were selected as the research objects.They were randomly divided into control group and observation group,64 cases in each group.The control group was given conventional treatment,on this basis,the observation group was given rehydration treatment,AFI,amniotic fluid maximum depth changes and pregnancy outcomes were compared between the two groups before and after treatment.Results:Before treatment,there was no significant difference in AFI and maximum depth of amniotic fluid between the two groups(P>0.05);After 5 days of treatment,the AFI and maximum depth of amniotic fluid of the two groups were significantly increased compared with those before treatment(P<0.05),and the AFI and maximum depth of amniotic fluid of the observation group were higher or deeper than those of the control group(P<0.05);The incidence of aspiration pneumonia and neonatal asphyxia in the observation group were lower than those in the control group(P<0.05);There was no significant difference in cesarean section rate,transvaginal rate,malformation rate and fetal distress rate between the two groups(P>0.05).Conclusion:Rehydration therapy can significantly improve amniotic fluid in late pregnancy,reduce AFI and maximum depth of amniotic fluid,and improve maternal and infant outcomes.It has good clinical effect and can be widely used.