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目的 探讨羊膜腔内灌注术 (amnioinfusion ,AI)产时治疗羊水过少的效果。方法 选择产时胎膜破裂伴羊水过少孕妇 87例 ,将其中愿行AI的 40例孕妇作为治疗组 ,余 47例作为对照组。治疗组进入活跃期后以导管插入羊膜腔内 ,经导管输入 37℃生理盐水 5 0 0～ 10 0 0ml。观察分析两组的产程及母儿病率。结果 AI组产程较对照组短 (P <0 0 1) ;羊水粪染、胎儿窘迫、新生儿窒息、手术产及产后出血率均较对照组低 ,差异具显著性(P <0 0 5 )。结论 AI方法简单 ,效果肯定 ,是产时治疗胎膜破裂羊水过少的有效方法。
Objective To investigate the effect of amniotic fluid infusion (amnioinfusion, AI) on the treatment of oligohydramnios. Methods Seventy-seven pregnant women with rupture of membranes and oligohydramnios were selected during delivery. Forty pregnant women who were willing to perform AI were selected as the treatment group and the remaining 47 as control group. After the treatment group entered the active phase, the catheter was inserted into the amniotic cavity, and the catheter was put into a physiological saline at 37 ℃ for 500 ~ 10 0ml. Observation and analysis of labor and maternal and child disease rates in both groups. Results The labor duration of AI group was shorter than that of the control group (P <0.01); meconium-stained amniotic fluid, fetal distress, neonatal asphyxia, surgical operation and postpartum hemorrhage rate were lower than those in the control group (P <0.05) . Conclusion AI method is simple, the effect is positive, is an effective method of birth during the treatment of oligohydramnios rupture of membranes.