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目的观察分析羊水过少的临床特点、诊断方法和母婴结局,总结其临床意义。方法选取我院116例羊水过少的产妇,设为观察组,再选取同期产检正常的产妇196例,设为对照组,观察比较两组分娩方式、母婴结局。结果经超声诊断羊水过少的准确率达93.1%,发生孕周>40周占82.8%,发生孕周≤40周占17.2%,两组比较差异显著(P<0.01),具有统计学意义;两组剖宫产率比较存在明显差异(P<0.01),具有统计学意义;两组胎儿窘迫、胎儿畸形、新生儿窒息发生率比较均有明显差异(P<0.05),具有统计学意义。结论对于羊水过少的产妇,在排除胎儿畸形的情况下,可适当放宽手术指征,尽早终止妊娠,保证母婴安全。
Objective To observe and analyze the clinical features of oligohydramnios, diagnosis and maternal and infant outcomes, summarize its clinical significance. Methods 116 cases of oligohydramnios in our hospital were selected as the observation group, and 196 cases of normal maternal pregnancy were selected as the control group. The mode of delivery and maternal-infant outcome were observed and compared. Results The accuracy of ultrasonography in diagnosing oligohydramnios was 93.1%. The gestational weeks> 40 weeks accounted for 82.8%, and the gestational weeks ≤ 40 weeks accounted for 17.2%. There was significant difference between the two groups (P <0.01), with statistical significance. There was significant difference between the two groups in cesarean section rate (P <0.01), with statistical significance. The incidence of fetal distress, fetal malformation and neonatal asphyxia in both groups were significantly different (P <0.05), with statistical significance. Conclusion For oligohydramnios mothers, in the case of excluding fetal malformations, may be appropriate to relax the indications for surgery, termination of pregnancy as soon as possible to ensure the safety of mother and child.