摘要
将 12 6例妊娠晚期羊水过少患者随机分为两组 ,治疗组经腹羊膜腔穿刺输液或经宫颈羊膜腔输液(AI) ,并记录输液量及输液后羊膜腔容积与胎儿情况。对照组给予吸氧、输液等一般宫内复苏方法。结果显示 ,治疗组在 B超引导下行 AI,其中 8例羊水粘稠者行羊水置换 ,症状改善 97.0 6 % ;对照组症状改善仅 10 .34% ,两组差异有显著性 (P<0 .0 1)。治疗组剖宫产率 13.2 4% ,新生儿窒息率 14.71% ;对照组分别为 5 1.72 %、46 .5 5 % ,明显高于治疗组 (P均 <0 .0 1)。对照组新生儿胎粪吸入 6例 ,新生儿死亡 2例 ,畸形儿 4例 ,而治疗组无 1例发生。两组产褥病率比较无显著性 (P>0 .0 5 )。认为对妊娠末期羊水过少患者进行 AI或羊水置换 ,降低了新生儿病率及剖宫产率 。
patients with hypamnion were divided into treatment group(68 cases)and control group(58 cases)randomly The treatment group was handled by amnion infusion through abdomen of uterus The amount of fluid infusion,the capacity of amniotic cavity after infusion,and condition of fetal were all taken down Oxygen inhalation and fluid infusion were performed in the control group Result showed 8 cases of treatment group whose amniotic fluid was polluted and turbid,successfully received amniotic cavity fluid with ultrasonic intervene and amniotic fluid replacement,the amniotic fluid were cleaner(97 06%),but only a few cases(10 34%)of control group were getting well The two group were significantly different(P<0 01) Cesarean rate(13 24%)and neonatal asphyxia rate(14 71%)in treatment group were significantly different from control group(cesarean rate 51 72%,neonatal asphyxia rate 46 55%,P<0 01 and P<0 01) 6 cases had meconium plug syndrome(MPS)and 2 cases died in control group,4 cases were with illness and disability,with no case in treatment group There was no significantly difference in puerperal rate between two groups(p>0 05) The cesarean section rate and neonatal mortality rate can be reduced by treating hypamnion with preparturient supersonic intervene amniotic cavith fluid infusion and replacement in the third trimester It is effective way in reducing the mortality of mothers and fetuses
出处
《山东医药》
CAS
北大核心
2001年第17期12-14,共3页
Shandong Medical Journal
