足月妊娠羊水过少122例临床分析

目的:探讨羊水过少发生的相关因素及对围生儿的影响。方法:对足月妊娠羊水过少的122例孕妇的临床资料进行回顾性分析,并随机抽取同期足月妊娠羊水量正常的孕妇122例作为对照。结果:足月妊娠羊水过少随着孕周的增加其发生率增高(P<0.01);羊水过少组妊娠并发症、胎儿宫内窘迫、新生儿窒息、无应激性试验时出现晚期减速、可变减速、羊水污染、吸入性肺炎发生率均高于羊水正常组(P<0.05～P<0.01);且剖宫产率较羊水正常组高(P<0.01)。结论:羊水过少是胎儿危险的重要信号,一经诊断,应以剖宫产分娩为宜。

Clinical analysis of 122 full-term pregnancy cases with oligohydramnios

Objective:To explore the related factors of oligohydramnios and its effect on the peninatal infant. Methods:The clinical data of 122 full-term pregnancy cases with oligohydramnios were retrospectively analyzed. The 122 full-term pregnancy women with normal amniotic fluid volume were set as the control group. Results:With the increasing of gestational weeks, the incidence of oligohydramnios in full-term pregnancy cases increased(P<0. 01). The pregnancy complications,fetal distress,neonatal asphyxia,late deceleration at non-stress test,variable deceleration,amniotic fluid pullution and aspiration pneumonia in oligohydramnios group were higher than those in control group(P<0. 05 to P<0. 01). The cesarean section rate in oligohydramnios group was higher than that in normal group(P<0. 01). Conclusions:Oligohydramnios is an important signal of fetal risk,and upon diagnosis,the cesarean section should be implemented.