延期妊娠孕产妇合并羊水过少对母婴结局影响.docVIP

延期妊娠孕产妇合并羊水过少对母婴结局影响 　　[摘要] 目的 探讨延期妊娠合并羊水过少对母婴结局的影响。 方法 选择在我院分娩的延期妊娠合并羊水过少孕产妇104例的临床资料进行回顾性分析，同时选择同期的延期妊娠但是羊水正常的孕产妇198例作为对照，比较两组的母婴结局，分析延期妊娠并羊水过少对母婴结局的影响。 结果 延期妊娠合并羊水过少组剖宫产、阴道助产、产后出血、脐带缠绕、胎儿窘迫、新生儿窒息、羊水浑浊度≥Ⅱ度、胎盘Ⅲ+级以及胎盘钙化的比例均显著高于羊水正常组（P0.01）。合并羊水过少组有1例死胎情况，两组均没有死产和新生儿死亡情况。 结论 延期妊娠合并羊水过少增加母婴不良结局的发生率，在临床工作中应严密监测，必要时及时终止妊娠。 　　[关键词] 延期妊娠；羊水过少；母婴结局 　　[中图分类号] R714.2 [文献标识码] B [文章编号] 1673-9701（2015）12-0028-03 　　Impaction of delayed pregnancy merger oligohydramnios on maternal and child outcome 　　GE Hongbiao 　　Obstetrics and Gynecology Department， Yizheng City TCM Hospital in Jiangsu Province， Yizheng 211400， China 　　[Abstract] Objective To discuss impaction of delayed pregnancy merger oligohydramnios on maternal and child outcome. Methods Clinical data of 104 cases with delayed pregnancy merger oligohydramnios were respectively analyzed. And 198 cases with delayed pregnancy and normal amniotic fluid were selected as control group. Maternal and neonatal outcomes of two groups were compared. Impaction of delayed pregnancy merger oligohydramnios on maternal and child was analyzed. Results Cesarean， vaginal delivery， postpartum hemorrhage， cord entanglement， fetal distress， asphyxia， amniotic fluid turbidity degree ≥Ⅱ， placental Ⅲ+ and placental calcification rates of group of delayed pregnancy merger oligohydramnios were higher than group of normal amniotic fluid（P0.01）. One case of stillbirth was delayed pregnancy merger oligohydramnios， and no stillbirths and neonatal deaths in two groups. Conclusion Delayed pregnancy merger oligohydramnios increases incidence of maternal and infant adverse outcomes. In clinical work， should be closely monitored， if necessary， timely termination of pregnancy. 　　[Key words] Delayed pregnancy； Oligohydramnios； Maternal and infant adverse outcome 　　延期妊娠约占总妊娠的3%～15%，因妊娠期延长，胎盘功能下降，对母婴会造成一定的不良影响。目前随着高危妊娠的产前检测率提高及B超技术的提高和普及，羊水过少的发生率有增加的趋势。胎盘功能不全是羊水过少的主要原因之一，而延期妊娠胎盘功能下降，因此延期妊娠孕妇易出现羊水减少[1]。本文回顾性分析延期妊娠合并羊水过少孕产妇的临床资料，与同期延期妊娠羊水正常的孕产妇母婴结局进行比较，分析