足月妊娠合并羊水过少180例临床观察

目的探讨足月妊娠合并羊水过少对母婴的影响。方法选取180例足月、单胎妊娠合并羊水过少孕产妇作为观察组,另取180例足月、单胎妊娠、羊水量正常的孕产妇作为对照组,对2组孕产妇的临床资料进行比较分析。结果观察组羊水量少于对照组,羊水指数(AFI)低于对照组,差异均有统计学意义(P<0.01)。观察组孕产妇发生胎儿生长受限、妊娠高血压综合征、胎盘功能异常和脐带异常的几率明显高于对照组(P<0.01)。观察组围生儿发生羊水污染、胎儿宫内窘迫、新生儿窒息、新生儿吸入性肺炎和新生儿转入新生儿重症监护室(NICU)的几率均高于对照组(P<0.05或P<0.01)。结论足月妊娠合并羊水过少对母婴有不良影响,确诊后应及时终止妊娠。

Clinical observation of oligohydramnios in full-term pregnancy:on 180 cases report

Objective To investigate the effects of the oligohydramnios in full-term pregnancy to pregnant women and infants. Methods 180 cases of oligohydramnios in full-term pregnancy were selected as observation group and 180 cases of normal amniotic fluid volume were selected as control group. Analyzed the clinical data of two groups. Results The amniotic fluid of observation group was less than control group, the amniotic fluid index （AFI） was lower than control group （ P 〈 0.01 ）. The incidence of intrauterine growth restriction, hypertensive disorders in pregnancy, abnormal placental function and abnormal umbilical cord in observation group were significantly higher than control group（ P 〈 0.01 ）. The incidence of meconium stained amniotic fluid, fetal distress, neonatal asphyxia, neonatal aspiration pneumonia and newborns transferred to neonatal intensive care unit （NICU） in observation group were higher than control group （ P 〈 0.05 or P 〈 0. O1 ）. Conclusion There are adverse effects of the oligohydramnios in full-term pregnancy to pregnant women and infants. It is necessary to determine the pregnancy after the diagnosis of it.