妊娠晚期羊水量与胎儿窘迫相关性分析.docVIP

妊娠晚期羊水量与胎儿窘迫相关性分析 　　[摘要] 目的 探析妊娠晚期羊水量与胎儿窘迫的相关性。 方法 选取106例妊娠晚期产妇，将其分为羊水量正常53例（A组），羊水量过多20例（B组），羊水量过少33例（C组），分析不同羊水量与胎儿窘迫的相关性。结果 B组、C组发生胎儿窘迫、新生儿窒息、胎儿生长受限、胎儿死亡的情况显著高于A组，比较差异有统计学意义（P0.05）； A组剖宫产率（6/53）11.32%，B组组剖宫产率（8/20）40.0%，C组剖宫产率（13/33）39.39%，A组剖宫产率显著低于B组和C组，比较差异有统计学意义（P0.05）。 结论 羊水过多或者过少均是妊娠晚期的严重并发症，会提高剖宫产的几率，提高胎儿发生窘迫、窒息等情况，应重视羊水量的检测，改善母婴预后。 　　[关键词] 妊娠晚期；羊水量；胎儿窘迫；相关性 　　[中图分类号] R714.2 [文献标识码] A [文章编号] 1674-0742（2016）03（b）-0057-02 　　[Abstract] Objective To discuss and analyze the correlation between amniotic fluid volume in late pregnancy and fetal distress. Methods 106 cases of puerperas in late pregnancy were selected and divided into group A with 53 cases （normal amniotic fluid volume）， group B with 20 cases （too much amniotic fluid volume） and group C with 33 cases （too less amniotic fluid volume）， the correlation between different amniotic fluid volumes and fetal distress was analyzed. Results The incidence of fetal distress， asphyxia neonatorum， fetal growth restriction and fetal death in the group B and group C was obviously higher than that in the group A， and there was a difference between the two groups by comparison（P0.05）， the cesarean section rate was（6/53）11.32% in the group A， （8/20） 40.0% in the group B and （13/33） 39.39% in the group C， the cesarean section rate in the group A was obviously lower than that in the group B and group C， and there was a difference between the two groups by comparison（P0.05）. Conclusion Too much and or too less amniotic fluid is a severe complication in late pregnancy， which can improve the probability of cesarean section and improve the incidence of fetal distress， and we should pay attention to the detection of amniotic fluid volume and improve the prognosis of maternal and infant. 　　[Key words] Late pregnancy； Amniotic fluid volume； Fetal distress；Correlation 　　如果胎儿发生窘迫，那么对胎儿的中枢神经会形成永久性的损伤[1]。引起胎儿窘迫的因素很多，主要是羊水量、脐带、母体、胎盘等因素[2]。为探析妊娠晚期羊水量与胎儿窘迫，该研究将2013年1月―2015年1月该院收治的106例妊娠晚期产妇作为研究对象，现报道如下。 　　1 资料与方法 　　1.1 一般资料