妊娠未足月羊水过少171例临床分析  

Analysis on Pregnancy Outcomes of 171 Cases with Oligohydramnios in Preterm Pregancy

作　　者：周建新[1] 王欣[1] 

机构地区：[1]首都医科大学附属北京妇产医院产科,北京100026

出　　处：《医学综述》2012年第17期2885-2888,共4页Medical Recapitulate

摘　　要：目的探讨妊娠未足月羊水过少发病的相关因素及静脉输液治疗羊水过少的疗效和围生儿结局。方法对我院2006年1月至2010年10月收治的171例妊娠未足月羊水过少的资料进行回顾性分析,其中124例接受扩容治疗,配对选取同期羊水正常的初产妇124例为对照组,比较妊娠结局。结果羊水过少的患者中血糖异常占27.5%,胎儿生长受限占10%,妊娠高血压综合征占4.6%,胎儿畸形占1.2%,轻度贫血占11.1%。各孕周组羊水过少的患者经静脉输液治疗后羊水量均增加(P<0.01);观察组和对照组在胎儿宫内窘迫、新生儿窒息、围生儿死亡等方面比较差异无统计学意义(P>0.05)。结论血糖异常是羊水过少最常见的并发症,羊水过少也与胎儿生长受限、妊娠高血压综合征、胎儿畸形及轻度贫血有关;静脉输液疗法治疗羊水过少是有效、可行的方法。Objective To explore the related factors of oligohydramuios in preterm pregnancy and the effi- cacy of intravenous infusion to treat oligohydramnios with the perinatal outcome. Methods 171 cases with oli- gohydramnios in preterm pregnancy in our hospital from Jan. 2006 to Oct. 2010 were retrospectiwly analyzed, among which 124 women with expansion treatment, were enrolled in a study on pregnancy outcome, comparing with another 124 nulliparous women matched with normal amniotic fluid volume. Results The prevalence of dysglycemia, fetal growth restriction （ FGR ） , pregnancy induced hypertension （ PIH ）, fetal malformation, mild anamia were 27.5% , 10% ,4.6% , 1.2% , 11.1% ,respectively. The amniotic fluid volume of the women in dif- ferent gestational age groups with oligohydramnios increased after the treatment of intravenous infusion （ P 〈0.01 ）. There was no obvious significance between observation group and control group in the prevalence of FGR, neonatal asphyxia and perinatal death （ P 〉 0.05 ）. Conclusion Dysglycemia is the most common compli- cation of oligohydramnios. Oligohydramnios is related with FGR, PIH, fetal malformation and mild anemia. The intravenous infusion is an effective and feasible method to treat oligohydramnios.

关 键 词：羊水过少 妊娠结局 微循环 

分 类 号：R714[医药卫生—妇产科学]