胎心宫缩图监护下经阴道羊膜腔内灌注治疗孕32周前羊水过少  

Transvaginal AI under Cardiotocogram Monitoring in the Treatment of Oligohydramnios before 32 Weeks of Gestation

作　　者：张志萍[1] Zhang Zhiping(Department of Obstetrics,Sanmenxia Central Hospital,Sanmenxia 472000.China)

机构地区：[1]三门峡市中心医院产科,河南三门峡472000

出　　处：《医学新知》2019年第1期51-52,55,共3页New Medicine

摘　　要：目的观察胎心宫缩图监护下经阴道羊膜腔内灌注(AI)对孕32周前羊水过少母婴结局的影响.方法选择孕32周前羊水过少的患者98例在胎心宫缩图监护下采用阴道AI进行分娩(观察组),选取同期孕32周前羊水过少的患者98例采用常规分娩方式分娩(对照组).比较两组母婴结局、胎儿娩出1、5 min后阿氏(Apgar)评分、羊水指数(AFI)及胎心监护评分.结果治疗后观察组孕妇的产后出血率及剖宫产率均低于对照组(P<0.05).观察组新生儿窒息、羊水Ⅲ度粪染及胎儿窘迫情况发生率均低于对照组(P<0.05).观察组胎儿娩出1、5 min后Apgar评分、AFI及胎心监护评分均高于对照组(P<0.01).两组孕妇的产褥病发生率差异无统计学意义(P>0.05).结论胎心宫缩图监护下经阴道AI可明显改善母婴结局.Objective To observe the effects of transvaginal amnioinfusion( AI) under cardiotocogram monitoring on maternal -infant outcomes in pregnant women with oligohydramnios before 32 weeks of gestation. Methods 98 cases of pregnant women with oligohydramnios before 32 weeks of gestation were selected as observation group, and 98 cases of pregnant women with oligohydramnios in the same period were selected as control group. Women in control group was given conventional delivery method ,and women in observation group was given transvaginal AI under cardiotocogram monitoring. The maternal-infant outcomes, Apgar scores at 1 min and 5 min after birth, amniotic fluid index (AFI) and fetal heart rate monitoring score were compared between the two groups. Results The postpartum hemorrhage rate and cesarean section rate in observation group were lower than those in control group( P <0. 05). The incidence rates of neonatal asphyxia, III degree of meconium-stained amniotic fluid and fetal distress in observation group were lower than those in control group( P < 0. 05 ). Apgar scores at 1 min and 5 min after hirth , AFI and fetal heart rate monitoring score in observation group were higher than those in control group( P <0. 05). There was no significant difference in puerperal morbidity rate between the two groups( P >0. 05 ). Conclusion Transvaginal Al under cardiotocogram monitoring can significantly improve maternal-infant outcomes.

关 键 词：妊娠 羊水过少 胎心宫缩图 母婴结局 

分 类 号：R719.9[医药卫生—妇产科学]