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目的:探讨羊水过少与母儿预后的关系。方法:收集邯郸市妇幼保健院2006年1月~2009年2月住院治疗的羊水过少孕妇402例,随机抽取同期分娩的羊水量正常孕妇360例作为对照组,两组病例就妊娠并发症、围产儿情况进行比较。结果:羊水过少组胎儿生长受限(FGR)、妊娠期高血压疾病和过期妊娠的发生率均较对照组高,差异有显著统计学意义(P<0.01),胎儿窘迫、羊水粪染、新生儿窒息、剖宫产率、脐带缠绕及脐带过短发生率也明显升高(P<0.01)。结论:羊水过少与妊娠并发症密切相关,严重威胁围产儿预后,剖宫产是重度羊水过少孕妇分娩方式的最佳选择。
Objective: To investigate the relationship between oligohydramnios and maternal and child prognosis. Methods: A total of 402 pregnant women with oligohydramnios hospitalized in Handan Maternal and Child Health Hospital from January 2006 to February 2009 were collected and randomly selected 360 pregnant women with normal amniotic fluid volume as control group. The two groups were divided into three groups: pregnancy complications, Perinatal situation to compare. Results: Fetal growth restriction (FGR), hypertensive disorders during pregnancy and the incidence of overdue pregnancy were significantly higher in the oligohydramnios group than in the control group (P <0.01), fetal distress, meconium-stained amniotic fluid, Neonatal asphyxia, cesarean section rate, umbilical cord entanglement and the incidence of umbilical cord was also significantly higher (P <0.01). Conclusions: Oligohydramnios is closely related to pregnancy complications, which seriously threatens the prognosis of perinatal children. Cesarean section is the best choice for pregnant women with severe oligohydramnios.