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目的:探讨小剂量肝索钠治疗妊娠晚期羊水过少的疗效。方法:98例妊娠满28~34周羊水过少孕妇分为两组,对照组42例,研究组56例。对照组采用静脉补液等传统治疗方法,研究组则在补液的同时加用小剂量肝素钠(25 mg/d)治疗,疗程均为7天。治疗后复查羊水指数,对两组分娩方式及产后2 h出血量、新生儿Apgar评分及体重进行比较。结果:研究组治疗后的羊水指数较对照组明显升高,剖官产率较对照组明显降低,新生儿体重较对照组明显增加,新生儿窒息率较对照组明显降低,两组产妇产后出血量比较无显著性差异。结论:小剂量肝素钠治疗妊娠晚期羊水过少可以显著增加羊水指数,增加新生儿体重,降低手术产率及新生儿窒息率,对产后出血量无明显影响。
Objective: To investigate the efficacy of low-dose hepatic sodium in the treatment of oligohydramnios in late pregnancy. Methods: 98 cases of pregnant women with oligohydramnios of 28 ~ 34 weeks were divided into two groups: control group (n = 42) and study group (n = 56). In the control group, traditional methods such as intravenous rehydration were used. In the study group, low-dose heparin sodium (25 mg / d) was added to the rehydration group, all of which were for 7 days. Amniotic fluid index after treatment, the two groups of delivery methods and 2 h postpartum hemorrhage, neonatal Apgar score and body weight were compared. Results: The amniotic fluid index of the study group was significantly higher than that of the control group. The cetin yield was significantly lower than that of the control group. The neonatal weight was significantly higher than that of the control group. The neonatal asphyxia rate was significantly lower than that of the control group. The postpartum hemorrhage No significant difference between the amount of. Conclusion: Low dose of heparin in the treatment of oligohydramnios in late pregnancy can significantly increase amniotic fluid index, increase newborn weight, reduce surgical yield and neonatal asphyxia, postpartum hemorrhage no significant effect.