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目的探讨羊水过少与妊娠并发症及其围生儿预后的关系。方法收集我院2007年1月—2013年2月住院的羊水过少孕妇120例,与同期我院分娩的羊水量正常孕妇120例做对照分析,比较2组妊娠并发症围生儿情况。结果羊水过少组胎儿生长受限、妊娠高血压疾病发生率高于对照组,2组比较差异有统计学意义(P<0.01)。羊水过少组胎儿窘迫、羊水粪染、新生儿窒息、吸入性肺炎的发生率及围生儿死亡率分别为32.0%,42.5%,3.33%,2.5%,0.83%;对照组分别为17.5%,20.0%,0.83%,0.0%,0.00%;羊水过少组胎儿窘迫、羊水粪染发生率明显高于对照组,差异有统计学意义(P<0.01)。结论羊水过少与妊娠并发症发生率增加密切相关,选择最佳分娩方式及时终止妊娠可明显改善围生儿预后。
Objective To investigate the relationship between oligohydramnios and pregnancy complications and its prognosis. Methods 120 cases of oligohydramnios hospitalized in our hospital from January 2007 to February 2013 were collected and compared with 120 cases of normal pregnant women with the same amount of amniotic fluid delivered in our hospital in the same period. The situation of perinatal complications in the two groups were compared. Results The oligohydramnios group had limited fetal growth and the incidence of pregnancy-induced hypertension was higher than that of the control group. There was significant difference between the two groups (P <0.01). The incidence of fetal distress, meconium-stained amniotic fluid, neonatal asphyxia, aspiration pneumonia and perinatal mortality were 32.0%, 42.5%, 3.33%, 2.5% and 0.83% respectively in the oligohydramnios group. The control group was 17.5% , 20.0%, 0.83%, 0.0% and 0.00% respectively. The incidence of fetal distress and meconium-stained amniotic fluid in oligohydramnios group was significantly higher than that in control group (P <0.01). Conclusions Oligohydramnios is closely related to the increase of the incidence of pregnancy complications. Choosing the best mode of delivery and timely termination of pregnancy can significantly improve the prognosis of perinatal infants.