摘要
[目的]探讨晚期妊娠羊水过少的相关因素，寻找正确的处理方法，降低围产儿病死率。[方法]对厦门市中医院2006年1月至2007年1月诊断为羊水过少的307例产妇资料进行分析。[结果]3610名产妇中，羊水过少的307例，羊水过少发生率为8．50％。孕周〈40周的为4．39％，40～41周的为9．13％，≥42周的为30．21％，不同孕周羊水过少发生率的差异有统计学意义（P〈0．01）。307例中，267例（占86．97％）产前B超诊断羊水过少。围生儿胎儿宫内窘迫发生率为31．92％，羊水粪染发生率为30．94％，新生儿窒息发生率为16．61％，脐带缠绕发生率为29．64％。分娩时羊水粪染发生率剖宫产者（247例）为16．60％，阴道分娩者（60例）为33．33％，差异有统计学意义（P〈0．01）；新生儿窒息发生率剖宫产者为6．88％，阴道分娩者为15．00％，差异有统计学意义（P〈0．05）。[结论]晚期妊娠羊水过少发生率较高，确诊后应尽量采取剖宫产，以降低围产儿病死率。
[Objective]To discuss the correlation factor of oligohydramnios in late pregnancy, and find a perfect treatment in order to degrade fatality of the newborn. [Methods]We analyzed 307 patient that diagnosed oligohydramnios in late pregnancy in Xiamen Hospital of TCM. [ Results ] During 3610 puerperan, 307 were diagnosed oligohydramnios （ 8. 50 % ） Incidence rate of oligohydramnios was 4.39% befor 40 weeks, 9.13% between 40 and 41 weeks, 30.21% after 42 weeks. 267 were diagnosed by anteparrum ultrasound examination（86.97 %）. In the 307 patients, Incidence rare of fetal distress in uterus was 31.92% ;of amniotic fluid contaminate was 30. 94% ;of apnoea neonatorum was 16.61%; of cord entanglement was 29.64 %. While accouchement,incidence rate of amniotic fluid contaminate was 16.60 % in 247 patients that take uterine-incision delivery,and 33.33 % in 60 patients that take vaginal delivery ; incidence rate of of apnoea neonatorum was 6.88 % in 247 patients that take uterine-incision delivery,and 15.00 % in 60 patients that take vaginal delivery. [Conclusion]Oligohydramnios occures more in late pregnancy. Once diagnosed, uterine-incision delivery should be chosed as far as possible in order to degrade fatality of the newborn.
出处
《预防医学论坛》
2007年第11期1034-1034,1037,共2页
Preventive Medicine Tribune
关键词
羊水过少
围产儿
剖宫产
Oligohydramnios
Newborn
Uterine-incision delivery
