羊水过少对分娩方式及围生儿的影响

目的探讨羊水过少对分娩方式和产妇及围生儿的影响。方法选择100例足月妊娠羊水过少的产妇作为实验组，另选择同期100名健康产妇作为对照组，两组均根据具体情况，选择合适的分娩方式。结果（1）实验组行剖宫产87例，剖宫率（87．0％）显著高于对照组57例（57．0％）（P〈0．05）；（2）实验组行剖宫产产妇手术相关指标，如术中出血、肛门排气、住院时间等指标虽高于对照组，但差异无统计学意义（P〉0．05）；（3）实验组阴道分娩17例（17．0％），产妇的手术相关指标也高于对照组43例（43．0％），但差异无统计学意义（P〉0．05）。（4）实验组围生儿羊水污染≥Ⅱ度、新生儿窒息、缺氧、胎儿窘迫等方面显著高于对照组（P〈0．05），胎儿病死率差异无统计学意义（P〉0．05）。（5）实验组组内不同分娩方式比较，剖宫产围生儿并发症发生率差异无统计学意义（P〉0．05）。结论分娩方式和分娩结局主要受羊水过少影响，而分娩方式对分娩结局并无明显影响。羊水过少孕妇如能早期诊断，及时处理，预后良好。

Influence of ofigohydramnios on mode of delivery and perinatal infants

Objective To explore the influence of oligohydramnios on mode of delivery and perinatal infants. Methods One hundred parturient women with oligohydramnios in term pregnancy was chosen as the experimental group, while 100 healthy parturient women as the control group. Each group got appropriate way of delivery according to her specific situation. Results （1） The rate of cesarean section of experimental group was significantly higher than that of the control group （P 〈 0. 05 ） ; （2） In the experimental group cesarean section related indicators such as bleeding, anal discharge, length of stay, postoperative complications were worse than the control group, but no significant difference between two .groups （P 〉 0. 05） ; （3） In the experimental group, the indicators of natural delivery were so same as the above;（4） Perinatal infants with ≥Ⅱ degree of amniotic fluid contamination, neonatal asphyxia, fetal distress, anoxia, etc. in experimental group were significantly higher than those in the control group （P 〈 0. 05）. The mortality of them was also higher, but no significant difference between two groups （P 〉 0.05） ; （5） As to modes of delivery in the experimental group, the occurrence rate of perinatal complications in cesarean section was lower than that in natural delivery, but there was no significant difference between them （P 〉 0.05 ）. Conclusion The modes of delivery and birth outcomes were affected mainly by oligohydramnios, and delivery mode did not significantly affect the outcome. Patients with oligohydramnios should be early diagnosed, timely treated, so as to improve the prognosis.