胎膜早破后残余羊水指数与母儿预后的关系探讨  

Clinical analysis of the correlation between residual amniotic fluid index after premature rupture of membrane and maternal-fetal outcome

作　　者：邹晓萍[1] 窦贺荣[2] 史海霞[1] 韩凌霄[1] 

机构地区：[1]武警后勤学院附属医院妇产科 [2]武警后勤学院实验动物中心,天津300162

出　　处：《安徽医药》2013年第4期584-585,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨研究胎膜早破后残余羊水指数与母儿预后的关系。方法以该院收治的92例胎膜早破,且羊水指数≤5的孕妇为A组;选取同期收治的92例胎膜早破,且羊水指数>5的孕妇为B组。比较两组孕妇的妊娠结局及新生儿情况。结果 A组胎儿宫内窘迫、羊水污染、羊膜腔感染的出现率分别为34.78%、38.04%、31.52%,明显高于B组的8.70%、9.78%、7.61%(P<0.05)。A组的剖宫产率为82.61%,明显高于B组的45.65%(P<0.05)。A组与B组新生儿出生体重差异无显著性(P>0.05)。A组新生儿出生1 min、5 min的Apgar评分均低于B组,但差异无显著性(P>0.05)。A组新生儿的发病率明显高于B组(P<0.05)。结论胎膜早破后残余羊水过少会显著提高孕妇的剖宫产率,严重影响母儿预后。Objective To study the correlation between residual amniotic fluid index （AFI） after premature rupture of membrane （PROM） and maternal-fetal outcome. Methods 92 PROM patients with AFI ≤5 were collected as the group A. 92 PROM patients with AFI 〉 5 were collected as the group B. Maternal-fetal outcomes were compared. Results The incidence of fetal distress, meconium-stained amni- otic fluid and intra-amniotic infection in group A were 34.78% ,38.04% and 31.52% ,which were obviously higher than those in group B, with P 〈 0. 05. Cesarean section rate of group A was 82.61% , which was significantly higher than group B＇ s 45.65 % , with P 〈 0. 05. There was no significant difference in neonatal birth weight, with P 〉 0. 05. Apgar score of group A was lower than that of group B, but there was no significant difference,with P 〉 0.05. Neonatal morbidity of group A was 36.96% , which was significantly higher than group B＇ s 15.22%, with P 〈 0. 05. Conclusion Oligohydramnios after PROM can obviously enhance the cesarean section rate, and has seri- ous influence on maternal-fetal outcome.

关 键 词：胎膜早破 羊水指数 妊娠结局 感染 新生儿 

分 类 号：R714.7[医药卫生—妇产科学]