1256例羊水过少妊娠的临床分析  被引量:27

Clinical Analysis of 1256 Cases of Oligohydramnios

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作  者:张华云[1] 任长慧[1] 许圣菊[1] 魏成芳[1] 

机构地区:[1]泰山医学院附属医院妇产科,山东省泰安市271000

出  处:《实用全科医学》2008年第1期35-36,共2页Applied Journal Of General Practice

摘  要:目的探讨羊水过少的病因及相关因素,寻找正确的处理方法,降低围生儿死亡率。方法对我院2000年1月-2007年3月住院分娩中1256例羊水过少及同期19882例非羊水过少病例从病因、妊娠及分娩期并发症、妊娠结局的临床资料进行对照分析。结果B超对羊水量的估计准确率可达到97%;羊水过少的妊娠并发症如妊高征、胎儿宫内发育迟缓(IUGR)、过期妊娠、胎儿畸形等。胎儿窘迫及新生儿窒息率明显高于对照组,难产率也明显高于对照组,差异均有统计学意义(P<0.01)。结论积极寻找病因纠正羊水过少,适时终止妊娠是本次妊娠的最佳选择。Objective To investigate the causes and correlative factors of oligohydramnios, in order to find the exact ways of treatment and reduce the mortality of perinatal fetus. Methods 1 256 cases with oligohydramnios and 19 882 cases with normal amniotic fluid were selected,and the clinical data such as causes,complications and end-results were analysed, Results The accuracy rate of B ultrasound was 97% in evaluating amniotic fluid. Because of oligohydramnios, the incidences of pregnancy-induced hypertension, fetal growth restriction, prolonged pregnancy, fetal abnormality, fetal distress, neonatal asphyxia and dystocia were higher than those of normal pregnant women. There were significant differences between the two groups( P 〈 0.01 ). Conclusions Finding the cause of oligohydramnios and correct treatment are of great importance to pregnant women with oligohydramnios,or termination of pregnancy is better choice.

关 键 词:羊水过少 病因 妊娠并发症 难产 

分 类 号:R714[医药卫生—妇产科学]

 

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