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目的:探讨晚期妊娠羊水过少对围生期结局的影响。方法:2005-01/2008-06应用超声测定羊水指数(AFI),对184例羊水过少孕产妇的临床情况及围生期结局进行分析。结果:羊水过少高发于孕40~42+6周,占7.58%;高危妊娠羊水过少多发生于孕37~39+6周,占71.43%;围生儿死亡率为43.5/万。剖宫产率为71.74%。结论:诊断羊水过少孕妇,应根据综合检查结果及妊娠是否存在高危因素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 effect of oligohydramnios in late pregnancy on perinatal outcome. METHODS: From January 2005 to June 2008, the amniotic fluid index (AFI) was measured by ultrasound and the clinical and perinatal outcome of 184 oligohydramnios mothers were analyzed. Results: Oligohydramnios occurred in 40 ~ 42 + 6 weeks pregnant, accounting for 7.58%; high risk of pregnancy oligohydramnios 37-39 + 6 weeks occurred in more than pregnancy, accounting for 71.43%; perinatal mortality was 43.5 / million. Cesarean section rate was 71.74%. Conclusion: Diagnosis of oligohydramnios should be based on the results of comprehensive examination and the existence of high risk factors for pregnancy, choose the best mode of delivery and timely termination of pregnancy, can significantly improve the prognosis of perinatal children.