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目的为羊水过少患者补充羊水量,降低剖宫产率,提高围生儿存活率。方法采用静脉留置针在B超监测下经腹穿刺于羊膜腔内,滴注林格氏液。羊水过少组(简称治疗组)60例,对照组46例,当滴注至羊水指数上升≥10 cm时,停止滴注。结果治疗组病例剖宫产率53.3%(32/60),与对照组91.3%(42/46)相比,差异有统计学意义(P<0.01)。产褥病率下降,治疗组与对照组比较,差异有统计学意义(P<0.01)。结论采用静脉留置针经腹穿刺羊膜腔内滴注林格氏液治疗羊水过少效果满意、操作简便安全、无菌性强,值得临床推广。
The purpose of amniotic fluid supplementation in patients with oligohydramnios, reduce the rate of cesarean section and improve perinatal survival. Methods Venous indwelling needles were punctured by amniocentesis with B-ultrasound and infused with Ringer’s solution. 60 cases of oligohydramnios (referred to as the treatment group), 46 cases of control group, when the infusion of amniotic fluid index rose ≥ 10 cm, stop drip. Results The cesarean section rate in the treatment group was 53.3% (32/60), which was significantly different from that in the control group (91.3%, 42/46) (P <0.01). The prevalence of puerperal decreased, the difference between the treatment group and the control group was statistically significant (P <0.01). Conclusion Intravenous transvenous injection of amniotic fluid instillation of Ringer’s solution in the treatment of oligohydramnios is satisfactory. The method is simple, safe, and sterile, which is worthy of clinical promotion.