孕足月胎膜早破残余羊水量与母儿预后的关系  

Residue amniotic fluid volume after premature rupture of membranes and maternal-fetal outcome

作　　者：桑琳[1] 吴艳[1] 

机构地区：[1]安徽医科大学附属合肥医院,安徽合肥230011

出　　处：《安徽医药》2013年第7期1139-1141,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨足月胎膜早破残余羊水量与母儿预后关系。方法采用回顾性研究方法选择该院2011年6—12月162例孕足月胎膜早破病例,根据破膜后残余羊水的羊水指数(AFI)将162例孕妇分成三组,其中羊水指数正常组90例(80 mm≤AFI<180 mm),可疑羊水过少组40例(50 mm≤AFI<80 mm),羊水过少组32例(AFI<50 mm)。比较其分娩方式及母儿结局。结果羊水过少组剖宫产率明显高于羊水指数正常组,差异有统计学意义(P<0.05)。可疑羊水过少组与羊水指数正常组相比剖宫产率差异无统计学意义(P>0.05),三组破膜距分娩时间相比差异均无统计学意义(P>0.05),三组产后产褥病率发生率差异均无统计学意义(P>0.05),羊水过少组新生儿窒息率明显高于羊水指数正常组,差异有统计学意义(P<0.05),可疑羊水过少组与羊水指数正常组相比,可疑羊水过少组与羊水过少组相比,新生儿窒息发生率差异均无统计学意义(P>0.05)。结论胎膜早破后残余羊水过少明显增加新生儿窒息比例和剖宫产率。胎膜早破残余羊水量多少可以作为判断母儿结局的一项指标。Objective To determine the relationship between the residue amniotic fluid volume after premature rupture of membranes（PROM） and maternal-fetal prognosis.Methods 162 pregnant women with PROM were studied,hospitalized in department of Obstetrics and Gynecology,the Affiliated Hefei Hospital of Anhui Medical University from Jun.2011 to Dec.2011.According to Amniotic fluid index（AFl） by ultrasound,patients were assigned into three groups：（1） Group of normal amniotic fluid： 90 pregnant women（80 mm≤AFI 180 mm）;（2） Group of borderline oligohydramnios： 40 pregnant women（50 mm≤AFI 80 mm）（3） Group of oligohydramnios： 32 pregnant women（AFI 50 mm）.The final delivery style and the maternal and children stermination were compared.Results The dystocia rate of oligohydramnios group was significantly higher than that of normal amniotic fluid group（P 0.05）.There was no significant difference between borderline oligohydramnios group and normal amniotic fluid group（P 0.05）.The rupture distance delivery time of three groups had no significant difference（P 0.05）.The puerperal morbidity of three groups had no significant difference（P 0.05）.The Neonatal asphyxia of oligohydramnios group was significantly higher than that of normal amniotic fluid group（P 0.05）.There was no significant difference between borderline oligohydramnios group and normal amniotic fluid group（P 0.05）.There was no significant difference between borderline oligohydramnios group and oligohydramnios group（P 0.05）.Conclusion Oligohydramnios after prom increase neonatal asphyxia and cesarean section rate.The amniotie fluid volume might be an important prognostic indicator to assess the maternal and neonatal outcomes when PROM happened.

关 键 词：胎膜早破 羊水过少 母儿预后 

分 类 号：R714.7[医药卫生—妇产科学]