海南医科大学学报

目的:研究足月妊娠羊水过少对围产儿的影响及临床处理方法。方法:对我院2007年1～12月间收治的228例羊水过少病例(观察组)的临床资料进行回顾性分析,并以同期240例正常羊水足月妊娠孕妇作为对照组,比较两组妊娠并发症、围产儿情况及分娩方式的差异。结果:观察组延期及过期妊娠(36.4%)、胎儿生长受限(11.4%)、妊娠高血压综合征(19.7%)、剖宫产(82.0%)、胎儿宫内窘迫(33.3%)、羊水Ⅱ、Ⅲ度污染(36.8%)、新生儿窒息(9.2%)及低体重儿(11.4%)的发生率均明显高于对照组(P<0.05)。结论:羊水过少对胎儿危害极大,一经确诊应尽早结束妊娠,可放宽剖宫产指征,以改善围产儿的结局。

Objective:To study the effect of oligohydramnios on perinatal infants and the clinical treatment.Methods:Took 228 oligohydramnios cases from January 2007 to December 2007 in our hospital as observation group.Retrospectively analyzed the clinical datas and compared with 240 pregnant women with normal amniotic fluid and pregnancy at term.Results:The incidence rates of postponed and overdue pregnancy(36.4%),fetal growth restriction(11.4%),pregnant hypertension syndrome(19.7%),cesarean section(82.0%),fetal distress(33.3%),Ⅱ/Ⅲ degree amniotic fluid infection(36.8%),nenonatal asphyxia(9.2%)and low birth weight(11.4%)were significantly higher than control group(P<0.05).Conclusion:Oligohyramnios is harmful to fetus.Once the diagnosis is confirmed,pregnancy should be end as soon as possible.The indications of cesarean section could be extended to improve situation of perinatal infants.