晚期妊娠羊水过少与围产儿缺氧现象临床观察  

The effect of oligohydramnios in term pregnancies and the clinical observation of perinatal newborn hypoxemia

作　　者：朱爱霞[1] 刘学军[1] 岳秀芳[1] 

机构地区：[1]泰安市中心医院妇产科,山东泰安271000

出　　处：《泰山医学院学报》2007年第2期104-105,共2页Journal of Taishan Medical College

摘　　要：目的探讨羊水过少与围产儿缺氧现象的关系,并寻找正确的处理方法,以降低围产儿病死率。方法回顾性分析我院2004年1月至12月115例临床羊水过少病例(样本组)。羊水过少诊断标准:临床估算实际羊水量<300m l;超声波检查羊水指数AFI≤5 cm,超声波检查结果与临床有异时以临床为准。结果样本组围产儿死亡、窒息及难产婴儿率均高于同期羊水正常组。所以羊水过少确诊后,严密监测产程,适时及合理方式终止妊娠,提高围产儿出生质量。Objective： To explore the relationship of the effect of oligohydramnios in term pregnancies and perinatal newborn hypoxemia, and find a suitable resolution in order to reduce the mortality. Methods： One hundred and fifteen patients oligohydramnios in term pregnancies from January to December in 2004 were restrospectively analysed. The diagnosis standard of oligohydramnios in term pregnancies ： The actually amount of amniotic fluid by clinical obvervation 〈 300ml ; amniotic fluid index （AFI） ≤5cm. If the result is different by ultrasonic and clinical observation, the result is according to the clinical observation. Results ： The mortality , asphyxiation and prolonged pregnancy rates of perinatal newborn in patient group were significantly higher than the control group. So after oligohydramnios in term pregnancies have been diagnosed, inspect the stages of labor rigorous, terminate the pregnancy timely, improve the birth quality in term pregnancies.

关 键 词：羊水过少 胎儿窘迫 围产儿 新生儿窒息 羊水指数 

分 类 号：R714.7[医药卫生—妇产科学]