孕晚期超声提示羊水过少对围产期母儿结局的临床研究  

Effects of oligohydramnios detected by ultrasound examination on the outcome of mother and fetus in the third trimester

作　　者：王国纬[1] 李逗 WANG Guowei;LI Dou(Department of Obstetrics,The Second People’s Hospital of Hengshui City,Hebei,Hengshui 053000,China)

机构地区：[1]河北省衡水市第二人民医院产科,053000

出　　处：《河北医药》2022年第9期1382-1384,1388,共4页Hebei Medical Journal

基　　金：河北省衡水市科学技术研究与发展计划项目(编号:2020014009Z)。

摘　　要：目的研究孕晚期超声提示羊水过少对围产期母儿结局的影响。方法采用回顾性分析方法,收集2020年12月至2021年6月住院分娩的羊水过少产妇108例设为观察组,同时选取同期分娩的羊水量正常的108例产妇设为对照组。比较2组分娩方式、产程中并发症、围产儿状况、妊娠合并症。结果观察组孕产妇随着孕周的增加,羊水过少的发生率逐渐增加,多数发生在38周以后。观察组孕产妇剖宫产率、引产率、产钳或胎头吸引助产率、产后出血率明显高于对照组,差异有统计学意义(P<0.05)。观察组新生儿羊水粪染率、新生儿窒息率、新生儿儿畸形率明显高于对照组;Ⅱ类胎心监护、Ⅲ类胎心监护出现的概率也较对照组高,差异均有统计学意义(P<0.05)。观察组新生儿羊水粪染率、新生儿窒息率、新生儿儿畸形率明显高于对照组;Ⅱ类胎心监护、Ⅲ类胎心监护出现的概率也较对照组高,差异均有统计学意义(P<0.05)。观察组孕产妇的胎儿生长受限率、胎儿宫内窘迫率及产妇合并甲状腺疾病和妊娠期高血压者均较对照组高,差异均有统计学意义(P<0.05)。结论羊水过少可能并发妊娠合并症,提示胎儿可能已经慢性宫内缺氧,对新生儿预后影响严重,及时实施干预措施;一经确诊应根据各项检查结果评估产妇及胎儿情况,选择正确的分娩方式。Objective To investigate the effects of oligohydramnios detected by ultrasound examination on the outcome of mother and fetus in the third trimester.Methods A total of 108 parturients with oligohydramnios who delivered in our hospital from December 2020 to June 2021 were enrolled as observation group,at the same time,the other 108 parturients with normal amniotic fluid levels were enrolled as control group.The complications during labor,the status of fetus,and the incidence of oligohydramnios were observed and compared between the two groups.Results With the increase of gestational weeks,the incidence of oligohydramnios was gradually increased,which occurred mainly after 38-week pregnancy.The incidence rates of pregnancy-induced hypertension and thyroid disease in observation group were significantly higher than those in control group(P<0.05),and the incidence rates of classⅡ,classⅢfetal heart monitoring,amniotic fluid fecal staining,neonatal malformations,neonatal asphyxia,and cesarean section in observation group were significantly higher than those in control group(P<0.05).Moreover the incidence rates of fetal distress,fetus growth limitation,thyroid diseases and gestational hypertension in the parturients in observation group were significantly higher than those in control group(P<0.05).Conclusion The risk of pregnancy complications in the The oligohydramnios of pregnant women in the third trimester may result in complications,which suggests that the fetus may have chronic intrauterine hypoxia,which has obvous effects on the prognosis of the neonates,therefore,it is necessary to take intervention measures,and evaluate the status of mother and fetus,so as to select the correct delivery mode.

关 键 词：羊水过少 超声 分娩方式 新生儿预后 

分 类 号：R445.1[医药卫生—影像医学与核医学]