胎膜早破后羊水过少对妊娠结局影响的临床研究  

Clinical study of the effect of oligohydramnios on pregnancy outcome after premature rupture of fetal membranes

作　　者：刘晓岩 LIU Xiao-yan(Yingkou Maternity and Children＇ s Hospital of Liaoning,Yingkou 115000,China)

机构地区：[1]辽宁省营口市妇产儿童医院,115000

出　　处：《中国实用医药》2018年第24期23-24,共2页China Practical Medicine

摘　　要：目的研究胎膜早破后羊水过少对妊娠结局的影响。方法 117例胎膜早破产妇,根据羊水指数进行分组,60例羊水指数<5 cm产妇作为观察组,57例羊水指数≥5 cm产妇作为对照组,观察比较两组产妇的分娩方式和分娩结局。结果观察组产妇阴道自然分娩率、剖宫产率、阴道助产率分别为11.67%、53.33%、35.00%,对照组产妇阴道自然分娩率、剖宫产率、阴道助产率分别为8.77%、29.82%、61.40%,两组比较差异有统计学意义(P<0.05)。对照组新生儿吸入性肺炎0例,新生儿窒息1例(1.75%),宫内感染2例(3.51%),观察组新生儿吸入性肺炎5例(8.33%),新生儿窒息7例(11.67%),宫内感染16例(26.67%);观察组新生儿吸入性肺炎、新生儿窒息、宫内感染发生率均高于对照组,差异有统计学意义(P<0.05)。结论胎膜早破引发羊水过少可导致不良的妊娠结局,需要监测羊水过少产妇剩余羊水量,并选择合适的分娩方式。0bjective To research the effect of oligohydramnios on pregnancy outcome after premature rupture of fetal membranes. Methods A total of 117 parturients with premature rupture of fetal membranes were selected, according to the amniotic fluid index, 60 parturients with amniotic fluid index less than 5 cm were regarded as observation group and 57 partnrients with amniotic fluid index equal or more than 5 cm were regarded as control group. The delivery mode and delivery outcome between two groups were compared. Results The vaginal delivery rate, cesarean section rate and vaginal midwifery rate of the observation group were 11.67%, 53.33% and 35.00% respectively, the vaginal delivery rate, cesarean section rate and vaginal midwifery rate of the control group were 8.77%, 29.82% and 61.40% respectively, the differences were statistically significant between the two groups （P〈0.05）. In the control group, there was no case of neonatal aspiration pneumonia, 1 case （1.75%） of neonatal asphyxia, 2 cases （3.51%） of intrauterine infection. In the observation group, 5 cases （8.33%） of neonatal aspiration pneumonia, 7 cases （11.67%） of neonatal asphyxia, and 16 cases （26.67%） of intrauterine infection, the incidence of neonatal inhalation pneumonia, neonatal asphyxia and intrauterine infection in the observation group were all significantly higher than those in the control group, the differences were statistically significant （P〈0.05）. Conclusion 0ligohydramni0s caused by premature rupture of fetal membranes can lead to adverse pregnancy outcomes, it is necessary to monitor the amount of residual amniotic fluid in oligohydramnios pregnant women, and choose the appropriate mode of delivery.

关 键 词：胎膜早破 羊水过少 妊娠结局 影响 

分 类 号：R714.433[医药卫生—妇产科学]