胎膜早破残余羊水过少与羊水过少对母儿结局的影响.docVIP

精品论文 参考文献 胎膜早破残余羊水过少与羊水过少对母儿结局的影响 马莉 　　（昆山市第三人民医院妇产科 江苏 昆山 215316） 　　【摘要】 目的：探讨足月胎膜早破残余羊水过少与合并羊水过少对母儿结局的影响。方法：选取120名初产妇，临产前行B超检查羊水指数（AFIle;80mm）,根据病因将产妇分为二组，A组60例为胎膜早破残余羊水过少，B组60例为合并羊水过少，观察分析二组产妇的胎儿窘迫率，胎头位置异常，剖宫产率，新生儿发病率，宫内感染率。结果：二组在剖宫产率，胎儿窘迫率中，差异有统计学意义（P＜0.05)，二组在胎头位置异常，新生儿发病率，宫内感染率中无统计学意义（P＞0.05）。结论：胎膜早破残余羊水过少可在严密监护下阴道试产。 　　【关键词】 羊水过少；残余羊水过少；胎膜早破 　　【中图分类号】R71 【文献标识码】A 【文章编号】2095-1752（2015）25-0096-02 　　【Abstract】 Objective: explore its effect to mother and baby that premature rupture of membrane with residual oligohydramnios in Full-term and residual oligohydramnios. Method: 120 primipara were detected the amniotic fluid index (AFIle;80mm) by the B ultrasonic examination before parturition.The 120 primipara were divided into two groups according to the etiopathogenisis.One group included 60 primipara who were premature rupture of membrane with residual oligohydramnios,the other group included 60 primipara who were oligohydramnios. We observed and analyzed that the incidence rate of fetal distress, fetal head malposition, the rate of cesarean section, neonatal morbidity and the rate of intrauterine infection. Results:There were significant difference on the rate of cesarean section and rate of fetal distress(Plt;0.05). There were not significant difference on fetal head malposition, neonatal morbidity and the rate of intrauterine infection(Pgt;0.05). Conclusion：The rate of fetal distress was low during the puerperant who were premature rupture of membrane with residual oligohydramnios. Because of that , it could lead to decrease the rate of cesarean section that the puerperant who were premature rupture of membrane with residual oligohydramnios could trial-produce through vagina when they were in strict custody. 　　【Key Word】 Oligohydramnios, Residual oligohydramnios, Premature rupture of membrane 　　胎膜破裂发生在临产前称胎膜早破，发生率约为5-10%，属于产科妊娠后期常见并发症。如果胎膜早破后残余羊水量过少有可能发生胎儿宫内感染，胎儿宫内窘迫等并发症，如不能正确处理，甚至有胎死宫内的可能。目前临床医生已对胎膜早破后羊水过少引起高度重视，甚至有