论文部分内容阅读
目的:探讨羊水过少发生的原因以及对围产儿的影响,以寻求降低围产儿病死率的方法。方法:对大连市妇产医院2003年1月～2004年12月间的125例羊水过少病例与同期羊水量正常的125例病例进行对比分析。结果:①羊水过少与过期妊娠、脐带异常、胎儿宫内发育迟缓(IUGR)、妊娠期高血压疾病、胎儿畸形、胎盘钙化密切相关。②羊水过少组胎儿宫内窘迫、新生儿窒息率、足月低体重儿的发生率明显高于对照组(P<0.05)。③阴道分娩的新生儿窒息发生率显著高于剖宫产者(P<0.01),不失时机的选择剖宫产是改善围产儿预后的关键。结论:羊水过少是一种妊娠并发症,对围产儿影响严重,一旦确诊,应严密监测胎心及羊水变化,适当放宽剖宫产指征。
Objective: To explore the causes of oligohydramnios and the impact on perinatal children in order to seek ways to reduce perinatal mortality. Methods: The contrastive analysis of 125 cases of oligohydramnios with normal amniotic fluid volume in Dalian Maternity Hospital from January 2003 to December 2004 was conducted. Results: ① oligohydramnios and unexplained pregnancy, umbilical cord abnormalities, intrauterine growth retardation (IUGR), gestational hypertension, fetal malformations, placental calcification are closely related. ② oligohydramnios fetal distress, neonatal asphyxia, full-term low birth weight children was significantly higher than the incidence of the control group (P <0.05). ③ The incidence of neonatal asphyxia during vaginal delivery was significantly higher than that of cesarean section (P <0.01). Choosing the right cesarean section at the right time was the key to improving the prognosis of perinatal children. Conclusions: Oligohydramnios is a pregnancy complication, which has a serious impact on perinatal children. Once diagnosed, the changes of fetal heart and amniotic fluid should be closely monitored, and cesarean indications should be appropriately relaxed.