摘要
目的：探讨不同孕周羊水过少与妊娠并发症的关系及对妊娠结局的影响。方法：收集我院2008年1月至2008年9月住院治疗的羊水过少孕妇178例，并随机抽取同期我院正常妊娠孕妇190例作为对照组，两纽孕妇就妊娠并发症、分娩方式度围生儿结局进行比较。结果：羊水过少孕妇妊娠期肝内胆汗淤积症（ICP）、胎儿宫内生长受限（FGR）、妊娠高血压疾病及胎儿畸形发生率均高于对照组，差异有统计学意义（P〈0．05）。胎儿宫内窘迫、新生儿窒息、羊水粪染的发生率也明显升高（P〈O．05）。伴有妊娠并发症的羊水过少孕妇，发生胎儿宫内窘迫、新生儿窒息、羊水粪染的机率较无妊娠并发症的的孕妇高（P〈0．05）。且其剖宫产率较对照组高（P〈0．05）。结论：羊水过少易增加妊娠并发症的发生率，造成不良妊娠结局，如果同时合并妊娠并发症则风险更大。因此做好严密产前监测，适时地选择分娩方式及时机是提高围生儿质量的重要方法。
Objective：To analysis the association of oiligohydramnois with pregnancy complications and effect on the pregnancy ending. Methods： The clinical data of patients with oligohydramnios in our hospital from Jan,2008 to Sep, 2008 were collected. Patients with normal amniotic fluid volume were selected ramdomly as control group. The complications of pregnancy and adverse perinatal outcomes were analyzed. Results： Compared to control group, incidences of postterm or overdue pregnancy, intrahepatin cholestas if of pregnancy, fetal growth restriction, pregnancy-- induced hypertension syndrome and fetal anomalies,In oligohydramnios proup was obviously high and had significant difference（P〈0.05）, Occurence of fetal distress newborn asphyxia and meconium--stained fluid increased in this group（P〈0.05）. The rate of meconium--stained fluid in patients was higher than that of oligohydramnios patients without pregnancy complications（P〈0.05）. The incidences of uterine incision delivery are also higher than that of control group（P〈0.05）. Conclusion：Intimate association of primary oligohydramnios with pregnancy complication is indentified oligohydramnios can be seen as a risk signal of many pregnancy complications. Oligohydramnios severly threaten perinatal life and causes hamful of parturition and the risk will increase if oligohydramnios patients complicated with pregnancy complications. To active treat pregnancy Complications and choice of appropriate method for delivery at the right moment are important in improving the birth quality.
出处
《按摩与康复医学》
2011年第20期24-25,共2页
Chinese Manipulation and Rehabilitation Medicine
关键词
羊水过少
妊娠结局
妊娠并发症
Oligohydramnios Pregnancy complications Pregnancy ending
