妊娠晚期羊水过少采用饮水治疗分析  

Analysis Curative Effect of Hydrotherapy to Treat Oligohydramnios

作　　者：田珲[1] 张斌[1] 张文华[1] 

机构地区：[1]兰州军区兰州总医院妇产科,甘肃兰州730050

出　　处：《伤残医学杂志》2003年第4期42-44,共3页Medical Journal of Trauma and Disability

摘　　要：目的:探讨饮水疗法治疗羊水过少的临床效果。方法:选择孕晚期羊水过少孕妇90例,随机分为两组,治疗组除日常饮食外,每日 24h内饮水≥4000mm,对照组行日常饮食。两组分别于治疗或观察前 1日、第 8日测定 AFI。此后治疗组仍坚持饮水疗法,两组均每2周动态监测AFI 1次,直至分娩。比较两组妊娠结局。结果:治疗组饮水7天后第8日 AFI和分娩前AFI均较饮水前明显增加,P<0.01;对照组观察前 1日,第 8日和分娩前AFI三组间比较,差异无显著性,P>0.05;治疗组与 对照组于第8日、分娩前AFI两组间比较,差异有显著性,均P<0.01。治疗组新生儿体重3150g,Apergar评分≤7分者1例,剖宫产9例,对照组分别为2750g,4例和21例。两组比较,差异有显著性,平均P<0.05。结论:饮水疗法治疗羊水过少简便有效,并能促进胎儿发育,减少新生儿窒息,降低剖宫产率。To analyze the clinical effect of hydrotherapy to treat oligohydramnios. Methods: 90 pregnant women diagnosed oligohydramnios were admitted into this research and divided into two groups randomly. Therapy group drank 4000ml water in one day beside diet. AFI was mensurated before and 8 days after drinking. After treatment above, two groups had their AFI mensurated every two weeks till delivery and the result of pregnancy was compared between 2 groups. Results: Of A group, there was significant difference(p<0.01of AFI between 8 days after hydrotherapy. There were no significant difference (p>0.05 ) among 8 day after hydrotherapy, before hydrotherapy and before delivery(p<0.01). The mean weight was 315Og, one case Apergar' s degree ≤7, and there were 9 cases who had caesarean section in therapy group. The mean weight was 2750g, 3 cases Apergar' s degree ≤7, and 21 case had caesarean section. There was significant difference (p<0.01) between 2 groups. Conclusion: Hydrotherapy was an easy and effective means to treat oligohydramnios, improved fetal growth, and decrease the asphyxiant of newborn and possibility of caesarean section.

关 键 词：妊娠晚期 羊水过少 饮水疗法 胎儿发育 新生儿窒息 剖宫产 

分 类 号：R714.46[医药卫生—妇产科学]