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目的分析妊娠晚期羊水过少对母婴的影响。方法选取医院妇产科收治的158例妊娠晚期羊水过少产妇作为观察组,选取同期收治的158例妊娠晚期羊水量正常产妇作为对照组,通过比较2组产妇的分娩方式、产后并发症情况及围生儿状况评价妊娠晚期羊水过少对母婴的影响。结果观察组产妇的剖宫产率为71.5%,高于对照组的39.9%(P<0.01);观察组产妇的产后并发症发生率为7.6%,高于对照组的2.5%(P<0.05);观察组围生儿羊水Ⅱ~Ⅲ度污染发生率、胎儿窘迫发生率、新生儿窒息发生率分别为6.3%、9.5%、7.0%,均高于对照组的0.6%、1.2%、1.2%(P均<0.05);观察组新生儿Apgar评分为(6.7±1.4)分,低于对照组的(7.9±1.3)分(P<0.01)。结论妊娠晚期羊水过少可对产妇妊娠结局及新生儿预后产生明显影响,临床应予以高度重视,并及时采取处置措施,以改善母婴结局。
Objective To analyze the influence of oligohydramnios in late pregnancy on maternal and infant. Methods A total of 158 cases of oligohydramnios in late trimester of pregnancy admitted to our hospital were enrolled as the observation group. One hundred and eighty five normal pregnant women of the third trimester of pregnancy were enrolled as the control group. By comparing the modes of delivery, Evaluation of perinatal condition of oligohydramnios in late pregnancy on maternal and infant. Results The rate of cesarean section in the observation group was 71.5%, which was higher than that in the control group (39.9%, P <0.01). The incidence of postpartum complications in the observation group was 7.6%, higher than 2.5% in the control group ). The incidence of Ⅱ ~ Ⅲ degree amniotic fluid contamination, fetal distress rate and neonatal asphyxia in the observation group were 6.3%, 9.5% and 7.0% respectively, which were all higher than those in the control group (0.6%, 1.2%, 1.2% % (All P <0.05). The Apgar score of neonates in the observation group was (6.7 ± 1.4) points lower than that in the control group (7.9 ± 1.3) points (P <0.01). Conclusions In the third trimester of pregnancy, oligohydramnios may have a significant effect on the pregnancy outcome and the prognosis of newborns. Clinically, it should be given a high priority and timely treatment measures should be taken to improve the outcome of maternal and infant.