胎膜早破残余羊水量与妊娠结局的相关性研究  

Correlation Research about Residual Amniotic Fluid Volume of Premature Rupture of Membranes and Outcome of Pregnancy

作　　者：张颖[1] 

机构地区：[1]辽宁省鞍山市第二医院妇产科,辽宁鞍山114014

出　　处：《中国医药指南》2013年第2期426-427,共2页Guide of China Medicine

摘　　要：目的探讨胎膜早破残余羊水量与妊娠结局的相关性。方法回顾性分析我院2009年至2011年间收治的149例胎膜早破产妇的临床资料,根据产前B超检测残余羊水指数结果(AFI),分为AFI>5.0cm组(82例)和AFI≤5.0cm组(67例),观察两组产妇的分娩结局。结果 AFI>5.0cm组产妇的自然分娩率显著高于AFI≤5.0cm组产妇,而阴道助产率和剖宫产率显著低于AFI≤5.0cm组,组间差异有统计学意义(P<0.05)。AFI>5.0cm组产妇的羊水污染和新生儿窒息的发生率分别为7.3%和1.2%,显著低于AFI≤5.0cm组产妇的26.9%和17.9%,组间差异有统计学意义(P<0.05)。结论胎膜早破残余羊水量过少对母婴安全构成了严重威胁,因此对胎膜早破的孕妇进行残余羊水量检测对于确定分娩方式,评价母婴预后具有重要的意义。Objective To investigate the correlation of residual amniotic fluid volume of premature rupture of membranes and outcome of pregnancy.Methods A retrospective analysis of 149 cases with premature rupture of membranes in our hospital from 2009 to 2011 years was operated,detected amniotic fluid index（AFI）,the results were divided into AFI5.0cm group（n=82） and AFI≤5.0cm group（n=82）,observed maternal outcomes of delivery of two groups.Results Cases in AFI5.0cm group,maternal childbirth rate was significantly higher than that in AFI≤5.0cm group,and the rate of vaginal delivery and cesarean section rate was significantly lower than that in AFI≤5.0cm group,the difference between groups was statistically significant（P0.05）.In AFI5.0cm Group maternal contamination of amniotic fluid and neonatal asphyxia rate of patients were 7.3% and 1.2%,were lower than that in AFI≤5.0cm group（26.9% and 17.9%）,the difference between groups was statistically significant（P0.05）.Conclusion Residual amniotic fluid volume of premature rupture of membranes pose a serious threat to maternal and child safety,so testing residual amniotic fluid volume to pregnant women has important significance for determining the mode of delivery and evaluating maternal prognosis.

关 键 词：胎膜早破 残余羊水量 妊娠结局 

分 类 号：R714.433[医药卫生—妇产科学]