羊水过少对围生儿预后的临床分析

目的探讨妊娠晚期羊水过少及对围生儿的影响。方法选取2006年1月至2011年12月我科收治的153例妊娠期妇女,收治妊娠妇女中随机纳入经B超诊断羊水正常者77例（正常组）,羊水过少者76例（羊水过少组）,比较分析两组病例围生儿情况。结果羊水过少组的剖宫产率高于对照组,两组间差异经统计学分析有显著性意义（P〈0.05）;羊水过少组围生儿并发症的发生率也较对照组高,两组间差异经统计学分析有显著性意义（P〈0.05）。结论妊娠40周后,羊水过少的发生率逐步增高;应使用B超加强对围产期产妇羊水量的监测,加强产前风险评估,选择科学的分娩方式,既可改善围生儿预后,又可降低剖宫产率。

Effect of Oligohydramnios on Prognosis of Neonate

Objective To explore the effect of oligohydramnios on prognosis of neonates. Methods 153 pregnant women in obstetric and gynecologic department from January 2006 to December 2011 were selected in this study. 77 pregnant women with normal amniotic fluid （normal group） and 76 pregnant women with oligohydramnios （oligohydramnios group） were analyzed retrospectively. The prognosis of neonates were compared. Results The cesarean section rate in the oligohydramnios group was significantly higher than that in the normal group （P 0.05）, and the rate of perinatal complications in the oligohydramnios group was higher than that in the normal group （P 0.05）. Conclusions Oligohydramnios occurred frequently beyond 40 weeks of gestation. Strengthening amniotic fluid monitor by B mode ultrasound and prenatal risk assessment, choosing correct delivery mode can improve the prognosis of neonates and reduce the incidence of cesarean section.