论文部分内容阅读
目的:探讨羊水过少对围生儿及其远期预后影响。方法:对2008年6月~2010年6月在郑州市妇幼保健院住院的羊水过少病例1 197例进行分析。对所有孕妇均行超声监测。常规扫查胎儿、胎盘和脐带,测羊水指数,产前或临产时行胎心监护,并在新生儿出生后予Apgar评分。新生儿神经性行为测定采用NBNA 20项评分方法。对出生后3~5天的新生儿常规进行听力筛查,初筛未通过者于42天内复筛。结果:羊水过少的围生儿易发生胎儿窘迫、新生儿窒息和羊水污染,听力筛查和神经行为测定异常率均高,与对照组比较,差异均有统计学意义(P<0.05);远期随访至1岁,部分患儿出现中枢协调障碍。结论:羊水过少是围生儿疾病的早期危险信号,对围生儿及其远期预后有一定影响。
Objective: To investigate the effect of oligohydramnios on the prognosis of perinatal infants. Methods: A total of 1 197 cases of oligohydramnios hospitalized in Maternal and Child Health Hospital of Zhengzhou City from June 2008 to June 2010 were analyzed. All pregnant women underwent ultrasound monitoring. Routine scanning of the fetus, placenta and umbilical cord, measuring amniotic fluid index, prenatal or parturient fetal heart rate monitoring, and Apgar score after birth. Neonatal neurobehavioral testing using NBNA 20 score method. Hearing screening of newborns 3 to 5 days after birth is routinely performed, and those who fail primary screening are re-screened within 42 days. Results: Fetal distress, neonatal asphyxia and amniotic fluid contamination, hearing screening and neurobehavioral abnormalities were both more frequent in infants with oligohydramnios than those in control group (P <0.05). Long-term follow-up to 1 year old, some children appear central coordination disorders. Conclusions: Oligohydramnios is an early danger signal of perinatal diseases and has some influence on perinatal infant and its long-term prognosis.