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目的探讨妊足月羊水过少与高危因素的关系及对围生期结局的影响。方法对我院2003年1月~2006年6月住院分娩的足月133例羊水过少病例进行回顾性分析,并随机抽取同期羊水量正常孕妇进行比较。结果133例中有72例存在高危因素;羊水过少组羊水污染、胎儿窘迫、新生儿窒息率明显高于对照组(P<0.05),剖宫产组新生儿窒息率明显低于阴道分娩组。结论羊水过少是胎儿缺氧的敏感性指标,孕产妇应积极监测,做到早发现、早处理;剖宫产是较适宜的分娩方式。
Objective To investigate the relationship between preterm amputated oligohydramnios and risk factors and the impact on perinatal outcome. Methods A retrospective analysis was performed on 133 cases of oligohydramnios in our hospital from January 2003 to June 2006 in our hospital. The pregnant women with the same amount of amniotic fluid during the same period were randomly selected for comparison. Results There were 72 risk factors in 133 cases. Amniotic fluid contamination, fetal distress and neonatal asphyxia in oligohydramnios group were significantly higher than those in control group (P <0.05). Neonatal asphyxia rate in cesarean section group was significantly lower than that in vaginal delivery group . Conclusions: Oligohydramnios is a sensitive indicator of fetal hypoxia. Pregnant women should be actively monitored to achieve early detection and early treatment. Cesarean section is a suitable mode of delivery.