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目的:探讨静脉补液治疗妊娠晚期临界性羊水过少的治疗效果。方法:对2010年10月-2011年11月我院妇产科产妊娠晚期并且出现羊水过少的100患者进行研究,随机将100例患者分成治疗组50例,对照组50例。治疗组50例患者入院后无应激试验(NST)均有反应,对50例患者均进行静脉补液治疗,补液前后均采用超声检查并记录。对照组50例患者入院后无应激应验(NST)均有反应,50例患者均未采用静脉补液治疗,入院后两次对患者采用超声检查。观察两组患者最大羊水池深度(AFD)以及羊水指数(AFI)治疗前后变化情况。结果:通过治疗,治疗组50例患者治疗前后最大羊水池深度(AFD)以及羊水指数(AFI)有明显差异(P<0.05)。对照组50例患者两次超声检查结果差异明显(P<0.05)。治疗组50例患者治疗后最大羊水池深度(AFD)以及羊水指数(AFI)与对照组第二次检查结果无明显差异(P>0.05)。结论:并不是所有的羊水过少患者均需要采取静脉补液治疗,比如在胎心监护正常的患者中就不需要采用静脉补液。所以应该重新规划应用传统的静脉补液治疗妊娠晚期临界性羊水过少的患者并且羊水过少的诊断需要动态观察,不能仅凭1次的检查结果诊断奍水过少。
Objective: To investigate the therapeutic effect of intravenous rehydration on critical polyhydramnios in late pregnancy. Methods: From October 2010 to November 2011, 100 patients with obstetric and gynecologic obstetrics and gynecology in our hospital who suffered from oligohydramnios were studied. 100 patients were randomly divided into treatment group (50 cases) and control group (50 cases). Fifty patients in the treatment group responded to the stress-free test (NST) after admission. All patients were treated with intravenous fluid replacement before and after rehydration. Ultrasound examination was performed and recorded. None of the 50 patients in the control group responded to the NST test. Fifty patients were treated with intravenous fluid replacement. Two patients were admitted to the hospital with ultrasound. The changes of maximum amniotic fluid depth (AFD) and amniotic fluid index (AFI) before and after treatment in both groups were observed. Results: The maximal depth of amniotic fluid pool (AFD) and amniotic fluid index (AFI) of 50 patients in the treatment group were significantly different (P <0.05). There were significant differences between the two groups in the control group (P <0.05). There was no significant difference in maximum depth of amniotic fluid pool (AFD) and amniotic fluid index (AFI) between the 50 patients in the treatment group and the second examination in the control group (P> 0.05). CONCLUSION: Not all patients with oligohydramnios require intravenous fluid replacement. For example, intravenous fluid replacement is not required in patients with normal fetal heart monitoring. Therefore, we should re-plan the application of traditional intravenous rehydration treatment of late trimester of critical oligohydramnios patients and oligohydramnios diagnosis requires dynamic observation, can not be diagnosed with hypohydration on the basis of a single test.