回顾性分析羊水过少经阴道分娩的临床观察.docxVIP

回顾性分析羊水过少经阴道分娩的临床观察 武汉市黄陂区人民医院 湖北武汉430300 摘要：目的：探讨分析羊水过少经阴道分娩的安全性及疗效。方法：收集2015 年6月??2016年2月我院诊断为羊水过少的产妇作为木次研究对象，分为研究 组(接受阴道分娩)和对照组(接受剖宫产)。对比(1)研究组和对照组羊水污 染、新生儿窒息、围产儿死亡发生率。(2)研究组和对照组新生儿Apgar评分及 产后2小时内出血量。结果：(1)研究组和对照组羊水污染、新生儿窒息、围产 儿死亡发牛率差异无统计学意义(Pgt；0.05)o (2)研究组和对照组新生儿Apgar 评分 8.6plusmn;1.2 分和 8.5plusmn;l.l 分，差异无统计学意义(Pgt;0.05)； 研究组和对照组产后2小时内出血量分別为215.6plusmn;54.7ml 294.5plusmn;68.9ml,差异有统计学意义(Plt;0.05)。结论：本次研究认为孕 晚期发牛羊水过少时，在排除胎儿畸形者、臀位、双胎妊娠等高危因素后，当宫 颈条件成熟时可以选择阴道分娩。 关键词：羊水过少；经阴道分娩；产妇 [Abstract] Objective： To investigate the analysis of oligohydramnios by safety and efficacy of vaginal delivery. Methods： from June 2015 ? February 2016 in our hospital diagnosed oligohydramnios pregnant women as the research object, divided into study group (receiving vaginal delivery) and control group (receiving cesarean sectio n) .Comparing (1) study group a nd the c on trol group, amn iotic fluid contamination, neonatal asphyxia and perinatal death rate. (2 ) the Apgar score and the amount of bleeding in 2 hours after delivery in the study group and the control group? Results： (1) there was no significant difference in the incidence of amniotic fluid con tami nation, neon atal asphyxia and peri natal mortality between the study group and the c on trol group (Pgt;0?05) . (2) in the study group a nd the c on trol group of neonatal Apgar score was 8.6 + 1.2 points and 8.5 + 1.1 points, the difference was not statistically significant (P gt; 0.05)； the study group and the control group after 2 hours the amount of bleeding were 215.6 + 54.7ml, 294.5 + 68.9ml, the d iff ere nee has statistical sign ificance(P lt; 0.05). Conclusi on： This study that oligohydramnios in late pregnancy and after exclusion of fetal abnormalities, breech presentation, twin pregnancy risk factors, when the cervix mature can vaginal delivery. [keyword] oligohydramnios； vaginal delivery； delivery 羊水过少是产科常见的并发症，以妊娠晚期最常见，羊水过少会造 成胎儿宫内窘迫和新生儿窒息。因此有学者建议对此类产妇进行剖宫产以减少新 生儿的死亡率。怛是随着研究的深入有学者认为羊水过少者选择阴道分娩可以不 仅能减少母儿并发症，而且同样能取