羊水过少176例临床分析

目的:探讨羊水过少的相关因素及其对妊娠结局的影响。方法:回顾分析176例羊水过少孕妇(观察组)的临床资料,并与同期羊水量正常孕妇(对照组)进行对照,分析羊水过少的相关因素及其对妊娠结局的影响。结果:羊水过少主要相关因素是妊娠高血压、过期妊娠、胎儿生长受限;观察组胎儿宫内窘迫、羊水污染、新生儿窒息及剖宫产率明显高于对照组。结论:羊水过少与围生儿发病率及剖宫产率增高明显相关;应加强对羊水过少孕妇产前监护、根据羊水检查结果综合判断做好合适分娩处理,改善围生儿预后。

Oligohydramnios in 176 cases

Objective：To explore the related factors of resulting in oligohydramnios and the influence on pregnancy outcome. Methods ： The clinical data of 176 oligohydramnios cases （ observational group） were analyzed and compared with the equal counterparts （control group） with normal amniotic fluid volume for finding out the causes and effects. Results：Oligohydranmios resulted from hypertensive disorders in pregnancy, postterm pregnancy and fetal growth retardation, and those factors would lead to a much higher incidence of fetal distress, amniotic fluid contamination, neonatal asphyxia and requirement of uterine-incision delivery as compared with the control group. Conclusion ： The oligohydramnios may be responsible for relatively higher perinatal morbidity and requirement of cesarean section delivery, Intensive monitoring before delivery is essential to improve the prognosis of perineonates on the basis of measurement of the arnniotic fluid volume and well-chosen delivery.