目的探讨羊水过少与妊娠并发症的相关性及其对胎儿结局的影响。方法 2011年3月至2013年2月于产科分娩且产后确诊为羊水过少产妇180例列入研究组,同期分娩结果羊水量正常产妇180例列入对照组,统计和比较两组产妇妊娠并发症发生情况及胎儿分娩结果。结果研究组产妇妊娠期高血压综合征、过期妊娠、胎儿宫内发育迟缓、畸形胎儿等妊娠期并发症发生率较对照组高,差异有统计学意义(P<0.01);研究组胎儿羊水粪染、胎儿窘迫、吸入性肺炎和新生儿窒息的发生率较对照组高,差异有统计学意义(P<0.05);两组围生儿死亡率比较差异无统计学意义(P>0.05)。结论临床应重视产妇羊水过少的问题,发现羊水过少时应积极检查产妇是否合并妊娠期并发症及胎儿危险结局,从而早期制定施治方案,改善分娩结局和母婴安全。 Objective To investigate the relationship between oligohydramnios and pregnancy complications and its impact on fetal outcomes. Methods From March 2011 to February 2013, 180 maternal oligohydramnios were included in the study group. Obstetric delivery and postnatal period were included in the study group. 180 cases with normal amniotic fluid volume in the same period were enrolled in the control group. Statistics and comparisons were made between the two groups Symptoms and fetal delivery results. Results The incidence of pregnancy complications such as gestational hypertension syndrome, obstetric pregnancy, intrauterine growth retardation and malformation fetus in study group was higher than that in control group (P <0.01). Study group, fetal amniotic fluid excrement The incidence of infection, fetal distress, aspiration pneumonia and neonatal asphyxia were significantly higher than those in control group (P <0.05). There was no significant difference in perinatal mortality between the two groups (P> 0.05). Conclusions In clinic, the problem of oligohydramnios should be emphasized. If the oligohydramnios is found to be too small, it should be checked whether the maternal complications are complicated by pregnancy and the risk of fetal death. Therefore, the treatment plan can be formulated early to improve the outcome of delivery and maternal and infant safety.