妊娠合并羊水过少118分析  

Clinical Analysis of 118 Cases Pregnancy with Oligohydramnios

作　　者：王彩云[1] 梁文英[1] 杨小剑[1] 

机构地区：[1]广东省江门市第二人民医院,广东江门529000

出　　处：《河北医学》2007年第11期1303-1305,共3页Hebei Medicine

摘　　要：目的:探讨妊娠合并羊水过少与妊娠结局的相关性,并寻找正确的处理方法,降低围产儿病死率。方法:选择115例羊水正常产妇为对照组,羊水过少产妇118例为观察组,对两组的临床资料进行回顾性分析。结果:羊水过少组中羊水Ⅱ度以上粪染,胎儿窘迫、围产儿死亡率、剖宫产率、新生儿Apgar评分率均显著高于羊水正常组。结论:羊水过少是胎儿宫内慢性缺氧最敏感的特异性指标,对妊娠结局有严重影响,宜剖宫产结束分娩。Objective： Investigation on correlation between pregnancy with oligohydramnios and outcome of pregnancy , pursue the correct treatment and reduce the mortality of perinatal infant. Method： 118 cases of pregnancy with oligohydramnios were served as observation group and 115 cases of pregnancy with normal amniotic fluid were served as control group, Clinical data of 233 patients were analyzed retrospectively. Result： The rate of amniotic fluid turbidity 11 - m degree, fetal distress, the perinatal mortality , the cesarean section, neonate Apgar score in oligohydramnios group were significantly higher than those in normal amniotic fluid group （ P 〈 0.05 ）. Condttsion： Oligohydramnios is the most sensitive and specific index to diagnostic chronic fetal anoxia in uterus and is deleterious to pregnancy. Once it is accurately diagnosed, we must actively terminate the pregnancy. Cesarean section should be the first choice.

关 键 词：妊娠 羊水过少 剖宫产 

分 类 号：R714.25[医药卫生—妇产科学]