静脉输液治疗妊娠晚期羊水过少112例临床分析  

Analysis of pregnancy outcome of 112 cases oligohydramnios of late stage treated by venous transfusion

作　　者：李云华[1] 方秀丽[1] 于杰[1] 

机构地区：[1]厦门大学附属中山医院妇产科,361004

出　　处：《辽宁医学杂志》2009年第2期59-61,共3页Medical Journal of Liaoning

摘　　要：目的探讨静脉输液治疗妊娠晚期羊水过少的疗效。方法对我院门诊产检B超检查发现羊水过少的患者112例(Ⅰ组)予静脉输液治疗,B超随访羊水量,并随访其妊娠结局,随机抽取同期羊水过少未治疗患者98例为对照组(Ⅱ组)。结果两组在年龄、分娩孕周方面无差异。Ⅰ组静脉输液治疗后羊水指数明显升高(P<0.01),静脉输液治疗羊水过少有效率为64.28%。Ⅰ组阴道分娩44例,占39.29%,剖宫产68例,占60.71%,胎儿宫内窘迫26例,占23.21%。Ⅱ组阴道分娩12例,占12.24%,剖宫产86例,占87.76%,胎儿宫内窘迫44例,占44.90%,两组比较差异有非常显著性意义(P<0.01)。新生儿窒息Ⅰ组4例,占3.57%,Ⅱ组6例,占6.12%,两组比较差异无显著性意义(P>0.05)。结论静脉输液治疗羊水过少有效、安全、可行的。Objective To study the curative effect of venous transfusion on treating olignhydramnios. Methods 112 cases （group Ⅰ） of ollgohydramnios diagnosed by B-ultrasound were admissed and treated by venous transfusion, the amniotic fluid indes（AFI） post-treatment and pregnancy outcome were observed. Group Ⅱ contained 98 cases of patients of oligohydramnlos without treating as control Results There were no statistic difference between the two groups in age and gestational age. In group Ⅰ,the AFI increased significantly after treatment（ P 〈0. 01） ,the effective rote was 64. 28% ,and 44 cases resulted in vaginal delivery（39.29% ） ,68 cases for cesarean section（60. 71% ） ,26 cases had fetal distress（23.21% ） . In group Ⅱ, 12 cases resulted in vaginal delivery（12. 24% ） ,86 cases for cesarean sectiun（87.76% ） ,44 cases had fetal distress（44. 90% ） ,there were significant statistic difference between the two groups. There were no statistic difference in neonatal asphysxia rate（ 3.57% for groupⅠ and 6. 12% for group Ⅱ） （ P 〉 0. 05 ）. Conclusion Intravenous transfusion treatment for oligohydramnios is effective ,save and feasible.

关 键 词：静脉输液 羊水过少 妊娠结局 

分 类 号：R714.2[医药卫生—妇产科学]