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目的探讨羊水过少的相关因素,提出有效措施以降低围产儿危险。方法我院2008年1～12月住院分娩总数为3976例,其中羊水过少163例,对羊水过少的相关因素进行分析,提出有效的防治措施。结果羊水过少高发于40周后;羊水过少出现最多并发症为妊高征和胎儿宫内生长迟缓(IUGR);羊水过少脐带缠绕发生率明显高于对照组,有统计学差异(P<0.01);羊水量越少,羊水粪染率及胎儿窘迫发生率越高,羊水过少组新生儿窒息率明显高于对照组。结论羊水过少确诊后适时以剖宫产结束分娩为宜。
Objective To investigate the related factors of oligohydramnios and to propose effective measures to reduce the risk of perinatal infection. Methods January to December 2008 in our hospital a total of 3976 cases of hospital delivery, of which 163 cases of oligohydramnios, oligohydramnios related factors were analyzed and put forward effective prevention and treatment measures. The results of oligohydramnios in 40 weeks after onset; oligohydramnios the most common complications of pregnancy-induced hypertension and intrauterine growth retardation (IUGR); oligohydramnios cord wound rate was significantly higher than the control group, there was a statistically significant difference (P <0.01). The smaller the amount of amniotic fluid, the higher the rate of amniotic fluid fecal infection and fetal distress, the rate of neonatal asphyxia in oligohydramnios group was significantly higher than that of the control group. Conclusion oligohydramnios timely diagnosis of cesarean section to end delivery is appropriate.