延期妊娠的临床处理策略  

Suitable treatment of the delayed pregnancy

作　　者：马丽[1] 

机构地区：[1]安徽医科大学第一附属医院妇产科,安徽合肥230022

出　　处：《安徽医药》2009年第12期1513-1514,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨延期妊娠对围生儿的影响及其临床处理对策。方法收集我院2008年1月至2009年1月间收治的169例延期妊娠的临床资料,并随机抽取同期我院收治的169例足月妊娠资料,两组相对比。结果延期妊娠组中胎盘Ⅲ级37例,羊水过少50例,羊水Ⅱ°-Ⅲ°污染40例,胎儿窘迫40例,新生儿窒息21例,阴道助产30例,剖宫产103例。延期妊娠组羊水过少、羊水污染、胎盘成熟度Ⅲ级、胎儿宫内窘迫、新生儿窒息、剖宫产等发生率较足月妊娠明显增高（P〈0.05）两组间巨大儿、低体重儿发生率差异无显著性（P〉0.1）。结论延期妊娠时胎盘功能减退,胎儿宫内环境差,胎儿对缺氧耐受性降低,高危程度增加,故应积极采取措施,适时计划分娩,产前产时需严密监护,以确保母婴安全。Aim To explore the effect of delayed pregnancy on perineonate and its suitable treatment. Methods We collected the clinical data of 169 patients with delayed pregnancy in our hospital from January 2008 to January 2009. And 169 patients with normal pregnancy were selected randomly as control group. Results For the delayed pregnancy group, 37 cases were at placental maturity III degree, 50 cases of oligohydramnios, 40 cases at amniotic fluid turbidity II - III degree, 40 cases of fetal distress, 21cases of neonatal asphyxia, 30 cases delivered from the vagina, 103 cases of cesarean section. The occurrence rates of placental maturity III degree, oligohydramnios, amniotic fluid turbidity II-III degree, fetal distress, neonatal asphyxia, and cesarean section were significantly higher than those in normal pregnancy group （ P 〈 0. 005 ）. As to large-for-dates infants and low birth weight infants, there were no obvious difference （ P 〉 0. 1 ）. Conclusions More dangerous situations would occur to the fetus resulting from decreasing function of placenta in delayed pregnancy. The incidence of delayed pregnancy will be decreased and mother with fetus will be safer by close monitor during antepartum and intrapartum period.

关 键 词：延期妊娠 养水过少 围生儿 

分 类 号：R714.2[医药卫生—妇产科学]