羊膜腔输液和羊水置换治疗妊娠晚期羊水过少的疗效观察  

Observation on the efficacy of Amniotic cavity fluid infusion and amniotic replacement for the treatment of oligohydramnios in late pregnancy

作　　者：赵婧 

机构地区：[1]山东省菏泽市第二人民医院,274000

出　　处：《中国妇幼保健》2010年第20期2872-2873,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨羊膜腔输液和羊水置换治疗妊娠晚期羊水过少的临床疗效。方法:86例妊娠晚期羊水过少患者随机分为治疗组和对照组,每组各43例。治疗组33例行单纯羊膜腔输液治疗,10例行羊膜腔输液加羊水置换治疗;对照组给予吸氧、输液等传统宫内复苏方法。观察两组的疗效和新生儿预后情况。结果:治疗组行羊膜腔输液和羊水置换后有效率为67.4%,而对照组无明显变化;治疗组剖宫产率、早产儿出生率、新生儿窒息和新生儿肺炎发病率均明显低于对照组,差异有统计学意义(P<0.05);两组均未发生产后宫内感染和产褥病等并发症。结论:羊膜腔输液和羊水置换治疗妊娠晚期羊水过少可以有效降低剖宫产率和早产儿出生率,明显改善新生儿的预后。Objective：To investigate the clinical efficacy of amniotic cavity fluid infusion and amniotic replacement for the treatment of oligohydramnios in late pregnancy.Methods：86 patients with oligohydramnios in late pregnancy were randomly divided into treatment group and control group,43 patients in each group.33 cases in treatment group received simple amniotic cavity fluid infusion,10 cases received amniotic cavity fluid infusion combined with amniotic replacement;while oxygen inhalation and fluid infusion were performed in the control group.Then to observe the efficacy and neonatal prognosis of two groups.Results：The effective rate of treatment group underwent amniotic cavity fluid infusion and amniotic replacement was 67.4%,while there had no significant change in the control group;the cesarean rate,premature birth rate,neonatal asphyxia and neonatal pneumonia incidence rate of the treatment group were significantly lower than control group,the difference was statistically significant （p0.05）;there were no postpartum intrauterine infection and puerperal complications occurred in two groups.Conclusion：Amniotic cavity fluid infusion and amniotic replacement for the treatment of oligohydramnios in late pregnancy can effectively reduce the cesarean rate and premature birth rate,and improve the prognosis of newborns significantly.

关 键 词：羊膜腔输液 羊水置换 羊水过少 临床疗效 

分 类 号：R714.4[医药卫生—妇产科学]