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目的探讨晚期妊娠羊水过少对围生儿及孕妇围生结局的影响,为临床对此类孕妇进行治疗提供指导依据。方法选取2014年1月-2016年1月于铜山区中医院进行分娩的86例晚期妊娠羊水过少孕妇作为观察组,另选取同期进行分娩的晚期妊娠羊水正常孕妇86例为对照组。在分娩结束后,对两组孕妇临床资料进行回顾性研究分析,对两组围生儿结局及孕妇围生结局进行统计并比较。结果观察组围生儿宫内窘迫、羊水污染、新生儿窒息及吸入肺炎的发生率均较对照组明显提高,Apgar评分明显降低(均P<0.05);观察组孕妇妊娠期高血压疾病、过期妊娠、胎儿畸形、胎膜早破发生率均较对照组明显提高,且产后出血量及产程均明显增加(P<0.05);观察组剖宫产率为83.7%,对照组为39.5%,两组比较,差异具有统计学意义(P<0.05)。结论晚期妊娠羊水过少会严重影响围生儿及孕妇围生结局,使围生儿并发症及孕妇围生并发症明显增加,对母婴生命安全造成严重威胁,临床应及时选择正确的分娩方式对围生儿及孕妇围生结局进行改善。
Objective To investigate the effect of oligohydramnios in late pregnancy on the perinatal outcome of pregnant women and perinatal women, and to provide guidance for the clinical treatment of such pregnant women. Methods Totally 86 pregnant women with oligohydramnios in late pregnancy who were delivered at Tongshan Hospital of Traditional Chinese Medicine from January 2014 to January 2016 were selected as the observation group. Another 86 pregnant women with normal amniotic fluid during the same period of delivery were selected as the control group. At the end of delivery, the clinical data of two groups of pregnant women were retrospectively analyzed and analyzed. The perinatal outcome and the perinatal outcome of pregnant women were compared and statistically analyzed. Results The incidence of perinatal fetal distress, amniotic fluid contamination, neonatal asphyxia and aspiration pneumonia in the observation group were significantly higher than those in the control group (P <0.05), while the Apgar score was significantly lower in the observation group The incidences of pregnancy, fetal malformations and premature rupture of membranes were significantly higher than those of the control group (P <0.05). The incidence of cesarean section was 83.7% in the observation group and 39.5% in the control group Group, the difference was statistically significant (P <0.05). Conclusions In late pregnancy, oligohydramnios will seriously affect the perinatal outcome of pregnant women and perinatal complications, perinatal complications and increased perinatal complications of pregnant women, posing a serious threat to the lives and safety of mothers and infants, and timely selection of the correct mode of delivery Perinatal and pregnant women to improve the perinatal outcome.