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过期妊娠并发羊水过少严重影响围产儿的预后,已成为围产期监护的重点内容之一。本文就此对围产儿的影响进行分析。1 临床资料1.1 资料来源 本院1988年1月~1990年9月计分娩5482例,其中过期妊娠(按Naegele算法妊娠≥42周者)246例,并发羊水过少(人工破膜及产时羊水量直接观察总量<300ml者)72例,另以羊水适量174例作对照分析。1.2 对分娩的影响:羊水过少组顺产率6.94%(5/72),羊水适量组72.99%(127/174),P<0.01;因胎儿宫内窘迫而行剖宫产率两组分别这68.06%(49/72)和28.74%(50/174),P<0.01;因产程异常的剖宫产率和阴道助产率两组差异无显著性。
Excessive pregnancy complicated with oligohydramnios seriously affect the prognosis of perinatal children, has become one of the key elements of perinatal care. This article analyzes the impact of perinatal children. 1 clinical data 1.1 sources of our hospital from January 1988 to September 1990 5482 cases of childbirth, of which 246 cases of pregnancy (according to Naegele algorithm pregnancy ≥ 42 weeks) 246 cases, complicated with oligohydramnios (artificial rupture of membranes and amniotic fluid during labor Amount of direct observation of the total <300ml) 72 cases, the other with the amount of 174 cases of amniotic fluid as a control. 1.2 The impact on childbirth: oligohydramnios cisterning rate of 6.94% (5/72), amniotic fluid amount of 72.99% (127/174), P <0.01; due to fetal distress and cesarean section rates were 68.06% (49/72) and 28.74% (50/174) respectively, P <0.01; there was no significant difference between the two groups in the rate of cesarean section and vaginal delivery because of abnormal labor.