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目的探讨羊水过少与胎儿宫内缺氧的程度与胎儿窘迫、新生儿窒息发生率的关系,以减少围生儿不良结局的发生。方法将我院2000年1月~2006年1月住院分娩的166例羊水过少产妇与正常对照组作比较,对羊水过少的诊断、病因、处理原则进行分析。结果孕周越大,羊水过少的发生率越高,有妊娠合并症和并发症的高危妊娠羊水过少明显高于对照组,而与巨大儿、臀位、高龄初产差异无统计学意义。结论羊水过少是胎儿宫内缺氧最敏感的指标之一,一经确诊,应根据综合检查结果,选择最佳分娩方式及时终止妊娠,可以明显改善围生儿预后。
Objective To investigate the relationship between the degree of oligohydramnios and fetal hypoxia, fetal distress and neonatal asphyxia, so as to reduce the incidence of perinatal unhealthy outcomes. Methods A total of 166 cases of oligohydramnios delivered in our hospital from January 2000 to January 2006 were compared with the normal control group. The diagnosis, causes and treatment principles of oligohydramnios were analyzed. Results The larger the gestational age, the higher the incidence of oligohydramnios, the risk of pregnancy complications and complications of high risk of pregnancy oligohydramnios was significantly higher than the control group, but with huge children, buttocks, advanced primiparous no significant difference . Conclusions: Oligohydramnios is one of the most sensitive indicators of intrauterine hypoxia. Once diagnosed, the optimal mode of delivery should be terminated according to the results of comprehensive examination. The prognosis of perinatal children can be obviously improved.