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目的观察妊娠晚期羊水过少对妊娠结局及新生儿的影响,从而为羊水过少孕妇治疗方式的采取提供理论依据。方法对2012年4月至2015年4月商丘市妇幼保健院收治的100例正常孕妇(对照组)及100例羊水过少孕妇(观察组)的剖宫产率以及并发症发生率进行统计并分析。结果观察组患者剖宫产率为75.0%,对照组患者剖宫产率为22.0%,经分析具有统计学意义(χ~2=56.23,P<0.01)。观察组胎儿宫内生长受限率为36.0%,对照组为4.0%,经分析具有统计学意义(χ~2=32.00,P<0.01)。观察组胎儿窘迫率为45.0%,对照组为20.0%。经分析,两组差异具有统计学意义(χ~2=14.25,P<0.01)。观察组新生儿窒息为10.0%,对照组为1.0%,经分析,两组差异具有统计学意义(χ~2=7.79,P<0.01)。结论羊水过少是妊娠晚期常见并发症,增加孕妇剖宫产率,并大大增加新生儿并发症的发生率。需严密监测胎儿情况,及时给予恰当的处理并选择最佳分娩方式。
Objective To observe the effect of oligohydramnios in late pregnancy on pregnancy outcomes and newborns, so as to provide a theoretical basis for the treatment of oligohydramnios pregnant women. Methods 100 cases of normal pregnant women (control group) and 100 cases of oligohydramnios pregnant women (observation group) who were treated in Shangqiu MCH hospital from April 2012 to April 2015 were analyzed statistically analysis. Results The rate of cesarean section in the observation group was 75.0%. The rate of cesarean section in the control group was 22.0%, which was statistically significant (χ ~ 2 = 56.23, P <0.01). The intrauterine growth restriction rate was 36.0% in the observation group and 4.0% in the control group, which was statistically significant (χ ~ 2 = 32.00, P <0.01). Fetal distress rate was 45.0% in the observation group and 20.0% in the control group. After analysis, the difference between the two groups was statistically significant (χ ~ 2 = 14.25, P <0.01). Neonatal asphyxia was 10.0% in the observation group and 1.0% in the control group. The difference was statistically significant (χ ~ 2 = 7.79, P <0.01). Conclusions Oligohydramnios is a common complication in late pregnancy, which increases the rate of cesarean section in pregnant women and greatly increases the incidence of neonatal complications. Need to closely monitor the fetus, timely and appropriate treatment and choose the best mode of delivery.