妊娠并发羊水过少160例临床分析  

Clinical Analysis of 160 Cases of Oligohydramnios

作　　者：沈建芳[1] 王丹[2] 张雪刚[1] 陈林芳[1] 

机构地区：[1]昆山市第一人民医院妇产科,江苏昆山215300 [2]上海市长征医院妇产科,上海200003

出　　处：《辽宁医学院学报》2010年第3期218-220,共3页Journal of Liaoning Medical University (LNMU) Bimonthly

摘　　要：目的探讨羊水过少对围产儿结局的影响。方法以160例羊水过少的孕妇作为研究对象进行回顾性分析,随机抽取同期160例羊水正常的孕妇作为对照,比较两组之间孕妇并发症、围产儿的结局以及分娩方式的差异。结果研究组孕妇合并胎儿宫内生长受限、过期妊娠的比例高于对照组,差异有统计学意义(P<0.05,<0.01)。两组围产儿结局方面,研究组发生羊水粪染、胎儿窘迫以及低体重儿的比例均高于对照组,两组比较差异有统计学意义(P<0.01)。研究组剖宫产的比例为85%,高于对照组的33.75%(P<0.01)。结论羊水过少是胎儿缺氧的危险信号,应该严密监护,及时采取剖宫产终止妊娠。Objective To discuss the influence of oligohydramnios on the pregnancy outcome.Methods Totally 160 cases of oligohydramnios in our hospital were retrospectively reviewed as observation group and 160 cases of normal pregnant women were as control group.The differences in pregnant complications,pregnant outcome,delivery ways were analyzed.Results The incidences of IUGR（intrauterine growth retardation） and postterm pregnancy in observation group were higher than those in the control group（P〈0.05,0.01）.The incidences of meconium-stained amniotic fluid,fetal distress and low body weight fetus in observation group were higher than those in the control group（P〈0.01）.The incidence of cesarean section was 85% in observation group while that in control group was 33.75%（P〈0.01）.Conclusions Oligohydramnios is a risk sign that indicates fetal anoxia in uterus.Pregnant woman with oligohydramnios should be monitored and cesarean section should be conducted properly.

关 键 词：妊娠 羊水过少 妊娠结局 

分 类 号：R714.25[医药卫生—妇产科学]