饮水疗法对未足月双象限值零正常量羊水的临床意义  

Maternal hydration therapy for preterm normal amniotic fluid with nought value in two quadrants

作　　者：刘奕[1] 唐云柄[1] 邱海帆[1] 

机构地区：[1]温州医学院附属第二医院妇产科,325000

出　　处：《浙江医学》2012年第21期1751-1752,1756,共3页Zhejiang Medical Journal

摘　　要：目的探讨饮水疗法对超声监测羊水容量正常、但伴有双象限值零的未足月孕妇的临床意义.方法从温州地区正规产检建卡孕妇且孕周〈37周者中选取彩色多普勒超声检查发现羊水总量正常但伴有双象限零值孕妇120例,随机分为饮水组（每周1次饮水疗法）和对照组（每组各60例）.定期测定羊水指数（AFI）.结果饮水组 AFI 在初次饮水治疗后即较饮水前明显升高（P〈0.05）,并且一直高于对照组（P〈0.05）.4周饮水疗法结束后无羊水过少或可疑羊水过少发生;对照组第3周起 AFI 较初次测量明显下降（P〈0.05）.4周后可疑羊水过少与羊水过少发生率为26.67%.结论对于超声提示正常总量羊水但伴双象限零值孕妇,需严密关注羊水的变化.饮水疗法能明显提升 AFI,降低羊水减少的发生率.Objective To investigate the clinical significance of maternal hydration therapy for preterm normal amniotic fluid with nought amniotic fluid in two quadrants monitored by Ultrasound. Methods One hundred and twenty pregnant women before 37-week gestation who had normal amniotic fluid with nought amniotic fluid in two quadrants were divided into 2 groups： hydration group had hydration therapy once a week and control group did not have hydration therpy. Amniotic fluid index （AFI） was observed at regular intervals. Results First maternal hydration increased AFI significantly in hydration group （P〈0.05）, which kept higher levels than those in the control group （P〈0.05）. No oligohydramnios and doubtful oligohydramnios in hydration group after 4 weeks. AFI was declined significantety after 3 weeks （P〈0.05） and the incidence rate of oligohydramnios and doubtful oligohydramnios was 26.67% at 4th week in control group. Conclusion Maternal hydration increases amniotic fluid index and decrease the incidence of oligohydramnios and doubtful oligohydramnios in preterm pregnant woman.

关 键 词：羊水指数 象限 饮水疗法 

分 类 号：R587.1[医药卫生—内分泌]