论文部分内容阅读
目的探讨晚期妊娠羊水过少及相关因素对围生儿预后的影响。方法统计2003年1月至2006年12月在坑梓医院分娩的孕妇,应用超声检测羊水指数,对分娩时羊水总量〈300ml的128例妊娠妇女临床检查相关因素及围生儿预后情况进行分析。结果羊水过少的发生率为3.94%,超声检测羊水指数监测羊水量,诊断符合率为95.87%(116/121),剖宫产率为77.34%(99/128),围生儿死亡率为78.12/万(1/128),新生儿窒息发生率为5.47%(7/128)。结论超声检查提示羊水过少的孕妇应结合胎心电子监护情况及羊水粪染程度及时选择剖宫产终止妊娠,可以明显改善围生儿预后。
Objective To investigate the effect of late pregnancy induced oligohydramnios and its related factors on the prognosis of perinatal infants. Methods A total of 128 pregnant women with a total amniotic fluid volume of <300ml during delivery were enrolled in this study. Pregnant women who delivered at Pittsburgh Hospital from January 2003 to December 2006 were analyzed by using ultrasound to detect the amniotic fluid index. The related factors of clinical examination and prognosis of perinatal children were analyzed . Results The incidence of oligohydramnios was 3.94%. The amniotic fluid index was used to monitor the amniotic fluid volume. The diagnostic coincidence rate was 95.87% (116/121), the cesarean section rate was 77.34% (99/128). The perinatal mortality rate was 78.12 / million (1/128), neonatal asphyxia 5.47% (7/128). Conclusion Ultrasound examination of pregnant women with oligohydramnios should be timely combined with fetal electronic monitoring of fetal monitoring and the degree of amniotic meconium-terminated cesarean section termination of pregnancy, can significantly improve the prognosis of perinatal children.