足月妊娠羊水过少与妊娠结局的临床分析.pdfVIP

足月妊娠羊水过少与妊娠结局的临床分析 王玲玲 中南大学湘雅二医院产科 410000 摘 : 目的：探讨足月妊娠羊水过少对母婴分娩结局及胎儿宫内发育情况的影响。方法： 2012 年1 月至2014 年1 月选取本院妇产科收治的80 例羊水过少的孕妇为观察组，另选取 同期在本院分娩的80 例正常孕妇为对照组，对比分析两组母婴并发症发生率及胎儿宫内发 育情况。结果：观察组产妇剖宫产率、产程延长、胎盘钙化、产后出血、妊娠高血压、过 期妊娠、胎粪II~III 度污染发生率显著高于对照组，差异有统计学意义（P0.05 ）。观察 组胎儿宫内窘迫、羊水污染、吸入性肺炎、胎儿窘迫发生率显著高于对照组，差异有统计 学意义（P0.05 ）。观察组胎儿阿氏评分、出生体重、身长、头围均低于对照组，差异有 统计学意义（P0.05 ）。结论：羊水过少可增加母婴并发症发生率，威胁母婴生命安全。 加强产妇产前检查，适时选择合适的分娩方式可降低羊水过少发生率，有利于确保母婴生 命安全。 关键词：足月妊娠；羊水过少；妊娠结局 The clinical analysis of Oligohydramnios term pregnancy and pregnancy outcomes Wang Lingling Abstract:Objective: To investigate the impact of term pregnancy oligohydramnios on birth outcomes and maternal intrauterine growth conditions. Methods: 80 cases of pregnant women with oligohydramnios were selected as observation group and 80 cases of normal pregnant women were selected as control group from January 2012 to January 2014.The maternal and child morbidity and intrauterine growth situation of two groups were comparated. Results: The rate of cesarean section, prolonged labor,placental calcification, postpartum hemorrhage, pregnancy- induced hypertension , prolonged pregnancy, meconium II ~ pollution degree III of observation group were higher than control group(P0.05).The rates of fetal distress, meconium, aspiration pneumonia , the incidence of fetal distress of observation group were higher than control group (P0.05). The fetal Apgar scores, birth weight, length and head circumference of control group were lower than the control group(P0.05). Conclusion: oligohydramnios can increase the incidence of maternal complications, threatening the lives of mother and child . Strengthen maternal prenatal care, timely delivery choose the right way to reduce the incidence of oligohydramnios , help ensure the safety of mother and