足月羊水量少对分娩方式选择的影响  

Effects of full-term amniotic less fluid less affect the choice of mode of delivery

作　　者：黄文[1] 冯少谭[1] 罗沛芬[1] 

机构地区：[1]广东省东莞市人民医院妇产科,广东东莞523000

出　　处：《中国医药科学》2013年第6期205-206,共2页China Medicine And Pharmacy

摘　　要：目的探讨足月羊水量少对分娩方式选择的影响,为我国优生优育提供机制参考。方法选择2009年1月～2012年6月于本院产科住院的足月分娩孕妇800例,其中羊水正常组(80mm<羊水指数<180mm)720例,羊水量少组(羊水指数<80mm)80例,对两组的分娩方式与预后情况进行观察统计。结果羊水量少组的剖宫产发生率明显高于羊水正常组(P<0.05),自然分娩发生率明显少于羊水正常组(P<0.05)。两组产妇的羊膜腔感染和吸入性肺炎发生率对比有明显差异(P<0.05)。两组新生儿的窒息、心肌损害和低血糖发生率对比无明显差异(P>0.05)。结论足月羊水量少在临床上多采用剖宫产,对于产妇有比较大的预后伤害,为此应加强对足月羊水量少的筛查及治疗,促进产妇健康。Objective To investigate the impact of full-term amniotic less fluid less affect the choice of mode of delivery to provides a mechanism for our prenatal and postnatal care. Methods 800 cases of obstetric inpatient hospitalization term delivery in pregnant women in our hospital from January 2009 to June 2012,amniotic fluid normal group （80 mm 〈 amniotic fluid values 〈 180 mm） 720 cases of amniotic fluid less than normal group （amniotic fluid values 〈 80 mm ） 80 cases,statistics on the mode of delivery and the prognosis of the two groups were observed. Results Amniotic fluid below normal group cesarean delivery were significantly higher than the normal amniotic fluid group （P 〈 0.05）,the incidence of natural childbirth was significantly less than normal amniotic fluid group（P 〈 0.05）. The two sets of maternal amniotic infection and aspiration pneumonia incidence of contrast there was a significant differcnce（P 〈 0.05）.Neonatal asphyxia, myocardial damage and the incidence of hypoglycemia contrast no significant difference （P 〉 0.05）. Conclusion To few full-term amniotic fluid in the clinical use of cesarean section for maternal prognostic hurt,this should strengthen the screening and treatment of this full-term amniotic fluid too few to promote maternal health.

关 键 词：足月羊水量少 分娩方式 妊娠结局 新生儿 产妇 

分 类 号：R714.2[医药卫生—妇产科学]