产时羊水过少对母婴的影响及诊治探讨

目的对产时羊水过少母婴围产结局回顾性研究，探讨临床诊治的优化方案。方法将研究对象随机分为两组，产时羊水过少孕妇为观察组，产时羊水正常孕妇为对照组，将两组临床资料进行整理，分别比较两组妊娠并发症、胎儿窘迫发生率、新生儿窒息率、剖宫产率、产程异常发生率、羊水胎粪污染率。结果观察组妊高征、过期妊娠、胎儿生长受限、胎儿畸形等妊娠并发症发生率均明显高于对照组（P〈0．05）；观察组胎儿窘迫、新生儿窒息发生率均明显高于对照组（P〈0．05）；观察组剖宫产率、羊水胎粪污染率均明显高于对照组（P〈0．05）。结论羊水过少是影响母婴围产结局的重要因素，应当视为胎儿危险信号，加强产前胎儿监护是改善母婴预后的措施，剖宫产是严重羊水过少分娩方式的最佳选择。

Effects of oligohydramnios on pregnancy and discussion of clinical diagnosis and treatment

Objective To study the effects of oligohydramnios on pregnancy, discuss the diagnosis and treatment of oligohydramnios. Methods The subjects were randomly divided into two groups, which were oligohydramnios （observation group） and normal amniotic fluid （control group）. Results Higher incidence of pregnancy hypertension,postterm pregnancy,fetal growth retardation and fetal anomaly were found in observation group than that in the control group, the higher incidence of fetal distress and apnoea neonatorum than control group. The frequency of cesarean section and meconium-stained amniotic fluid were significantly higher than that in observation group. Conclusion Oligohydramnios affect pregnancy which should be consid- ered as danger signals of fetus. The prenatal embryo guardianship could improve pregnancy outcome. Cesarean section is a best choice for serious oligohydramnios.