摘要
目的 探讨羊膜腔内灌注术 (amnioinfusion ,AI)产时治疗羊水过少的效果。方法 选择产时胎膜破裂伴羊水过少孕妇 87例 ,将其中愿行AI的 40例孕妇作为治疗组 ,余 47例作为对照组。治疗组进入活跃期后以导管插入羊膜腔内 ,经导管输入 37℃生理盐水 5 0 0～ 10 0 0ml。观察分析两组的产程及母儿病率。结果 AI组产程较对照组短 (P <0 0 1) ;羊水粪染、胎儿窘迫、新生儿窒息、手术产及产后出血率均较对照组低 ,差异具显著性(P <0 0 5 )。结论 AI方法简单 ,效果肯定 ,是产时治疗胎膜破裂羊水过少的有效方法。
Objective To investigate the way and the effects of amnioinfusion(AI) on treating oligohydramnios in labor.Methods Among 87 patients with rupture of memberans and oligohydramnios,40 patients who received AI spontaneously were taken as study group and the other 47 as control one.500～1000ml normal saline at 37℃ were infused into the amniotic cavity by a catheter inserted into it in the study group during the active phase.The stage and morbidity of mothers and fetuses were observed and analysed.Results The stage of the study group was shorter than that of the control group(P<0 01),and the incidences of meconium-stained amniotic fluid,fetal distress,neonatal asphyxia,operation rate and puerperal hemorrhage were lower(P<0 05,respectively).Conclusion Amnioinfusion therapy is a simple and effective way in treating patients with rupture of membranes and oligohydramnios in labor.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2000年第8期475-476,共2页
Chinese Journal of Practical Gynecology and Obstetrics
