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目的:探讨母体水化疗法对妊娠晚期羊水过少患者的治疗效果。方法:将58例妊娠28～36周确诊为羊水过少(ROH)孕妇随机分为两组,每组29人。饮水疗法组采取饮水疗法,静脉补液组采取静脉补液疗法,7天后行B超复查羊水AFI值,如AFI≤8.0 cm者继续重复疗程1次,治疗后对照其羊水AFI值的变化;另选48例妊娠28～36周确诊为羊水过少患者为对照组,除加强监护外未予特殊处理。各组临产后均予阴道试产,分析比较各组试产后的分娩结局。结果:饮水疗法及静脉补液组治疗后AFI增长与治疗前相比差异有统计学意义(P<0.01)。对照组急诊剖宫产率、新生儿窒息发生率显著高于饮水疗法及静脉补液组,差异有统计学意义(P<0.05),新生儿吸入性肺炎发生率差异有统计学意义(P<0.01)。结论 :母体水化疗法对妊娠晚期无明显妊娠合并症,对ROH患者的治疗具有良好疗效,较长期的母体水化疗法能显著增加ROH患者的羊水容量,降低因羊水过少而导致的剖宫产率,减少新生儿并发症,提高围产儿结局。
Objective: To investigate the effect of maternal hydration therapy on patients with oligohydramnios in late pregnancy. Methods: Fifty-eight pregnant women diagnosed with oligohydramnios (ROH) at 28-36 weeks of gestation were randomly divided into two groups of 29. Drinking water therapy group to take drinking water therapy, intravenous rehydration group to take intravenous rehydration therapy, 7 days after the B-ultrasound AFI value, such as AFI ≤ 8.0 cm who continued the course of treatment 1, AFI value after treatment compared to its amniotic fluid; Cases of pregnancy 28 to 36 weeks diagnosed with oligohydramnios as a control group, in addition to strengthening the custody without exception. All groups were given vaginal trial after childbirth, analysis and comparison of delivery outcomes after trial. Results: There was significant difference in the growth of AFI between drinking water therapy and intravenous rehydration group before treatment (P <0.01). The incidence of cesarean section and neonatal asphyxia in control group was significantly higher than that in drinking water treatment and intravenous rehydration group, the difference was statistically significant (P <0.05), the incidence of neonatal aspiration pneumonia was statistically significant (P <0.01 ). Conclusion: Maternal hydration therapy has no obvious pregnancy complications in the third trimester of pregnancy and has a good curative effect in the treatment of patients with ROH. Long-term maternal hydration therapy can significantly increase the amniotic fluid volume in ROH patients and reduce the incidence of cesarean section due to oligohydramnios Yield, reduce neonatal complications and improve perinatal outcomes.