羊水过少围产儿345例预后及分娩方式探讨

目的：探讨改善羊水过少围产儿预后，降低死亡率的终止妊娠方法。方法：抽取１９８８年３月～１９６６年１月间住院分娩产妇９４７２例，其中羊水过少３４５例，发生率３．６５％。对３４５例羊水过少围产儿预后及分娩方式进行探讨。结果：３４５例羊水过少，经阴分娩１５３例，剖宫产１９２例，剖宫产率为５５．６５％。胎儿窘迫１４３例（４１．２％），新生儿窒息１８５例（５３．６％），新生儿死亡１４例（４．１％）。对照组５００例，肥儿窘迫３４例（６．８％），新生儿窒息３４例（６．８％），新生儿死亡４例（０．８％），两组相比羊水过少围产儿发病率显著升高（Ｐ〈０．０５，Ｐ〈０．０１）。结论：羊水过少胎儿窘迫，新生儿窒息及死亡率均高，适时剖宫产能改善围产儿预后。

STUDY ON THE DELIVERY MODE AND PROGNOSIS OF THE PERINATAL NEONATE WITH OLIGOHYDRAMNIOS

Objective:To find the suitable mode of delivery to improve the perinatal outcome in pregnancy with oligohydraminos.[WT5HZ]Methods:9 470 cases of parturition from Mar 1988 to Jan 1996 were selectedlyed,in which 345 cases with oligohydramnios were analysed for the mode of delivery and perinatal outcome.[WT5HZ]Results:The cesarean delivery rate of the study group was 55.65%,the fetal distress rate,neonatal asphyxia rate and neonatal death rate in study group and control group were as follws:41.2%(143/345)vs 6.8%(34/500),53/6%(185/345)vs 6.8%(34/500),4.1%(14/345) vs 0.8%(4/500).There was significantly higher morbidity rate in the study group.[WT5HZ]Conclusion:There is a higher perinatal morbidity rate in pregnancy with oligohydraminos and cesarean delivery at suitabls time can result in an improved perinatal outcome. [WT5HZ]