妊娠晚期发生羊水过少的影响因素分析  

Analysis of the influencing factors of oligohydramnios in late pregnancy

作　　者：杜鲁豫 DU Luyu(Department of Obstetrics and Gynecology,Liaocheng Women and Children Health Hospital,Shandong Province,Liaocheng 252000,China)

机构地区：[1]山东省聊城市妇幼保健院妇产科,山东聊城252000

出　　处：《妇儿健康导刊》2025年第4期90-93,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的分析妊娠晚期发生羊水过少的影响因素。方法选取2022年6月至2023年10月于聊城市妇幼保健院产检的83例妊娠晚期孕妇,统计羊水过少发生率,收集产妇临床信息,分析妊娠晚期发生羊水过少的相关因素。结果83例中,24例发生羊水过少(28.92%);单因素分析显示,年龄、妊娠期并发症、宫内感染、胎儿结构异常、羊膜病变与妊娠晚期羊水过少的发生有关(P<0.05);logistic回归分析显示,年龄>35岁(OR=4.375,95%CI=1.516~12.627)、妊娠期并发症(OR=6.316,95%CI=2.159~18.473)、宫内感染(OR=4.954,95%CI=1.789~13.719)、胎儿结构异常(OR=6.566,95%CI=2.248~19.172)、羊膜病变(OR=2.917,95%CI=1.078~7.889)为妊娠晚期发生羊水过少的独立危险因素(P<0.05)。结论年龄>35岁、妊娠期并发症、宫内感染、胎儿结构异常、羊膜病变为妊娠晚期发生羊水过少的独立危险因素。Objective To analyze the influencing factors of oligohydramnios in late pregnancy.Methods A total of 83 pregnant women in late pregnancy who underwent prenatal examination in Liaocheng Women and Children Health Hospital from June 2022 to October 2023 were selected.The incidence of oligohydramnios was counted,the clinical information of the pregnant women was collected,and the related factors of oligohydramnios in late pregnancy were analyzed.Results Among the 83 cases,24 cases had oligohydramnios(28.92%).Univariate analysis showed that age,pregnancy complications,intrauterine infection,fetal structural abnormalities and amniotic lesion were related to oligohydramnios in late pregnancy(P<0.05).The logistic regression analysis showed that age>35 years old(OR=4.375,95%CI=1.516-12.627),pregnancy complications(OR=6.316,95%CI=2.159-18.473),intrauterine infection(OR=4.954,95%CI=1.789-13.719),fetal structural abnormalities(OR=6.566,95%CI=2.248-19.172),and amniotic lesion(OR=2.917,95%CI=1.078-7.889)were independent risk factors for oligohydramnios in late pregnancy(P<0.05).Conclusion Age>35 years old,pregnancy complications,intrauterine infection,fetal structural abnormalities and amniotic lesion are independent risk factors for oligohydramnios in late pregnancy.

关 键 词：羊水过少 妊娠晚期 宫内感染 妊娠期并发症 胎儿结构异常 羊膜病变 

分 类 号：R714[医药卫生—妇产科学]