摘要
目的探讨静脉补液治疗妊娠晚期临界性羊水过少的临床价值。方法选取2012年11月—2013年12月64例妊娠晚期临界性羊水过少患者,根据无应激反应实验结果及治疗方案将其分为两组,每组32例。两组患者均在入院后接受两次超声检测,分别在治疗前后观察两组羊水指数及最大羊水池深度。结果实验组治疗后羊水指数及最大羊水池深度有明显变化(P<0.05);第二次超声检测结果提示,对照组羊水指数及最大羊水池深度与实验组差异无统计学意义(P>0.05);对照组前次超声检测结果与二次超声检测结果,差异有统计学意义(P<0.05)。结论是否应给予临界性羊水过少患者传统静脉补液治疗仍然值得临床重新思考和认识,其对于胎心监护提示正常的大部分病例而言并无必要;临床应动态观察羊水过少诊断病例,不可单纯将1次检查结果提示临界性羊水过少纳入剖宫产指征。
Objective To observe intravenous rehydration therapy in late pregnancy criticality oligohydramnios clinical value. Methods 64 cases of late pregnancy in patients with borderline oligohydramnios in our hospital from November 2012 to December 2013,based on the experimental results without the stress response and its treatment were divided into two groups,32 cases of each group.Patients were admitted to hospital twice after ultrasonic testing, respectively, were observed amniotic. Results The experi-mental group amniotic fluid index and maximum pool depth sheep significant changed after treatment （P〈0.05）.The second ultra-sound test results suggested that in the control group amniotic fluid index and maximum pool depth sheep and experimental groups was not statistically significant （P〉0.05）.Previous results in the control group and the secondary ultrasound ultrasound test results were statistically significant differences （P〈0.05）. Conclusion Should be given the critical nature of oligohydramnios traditional in-travenous rehydration therapy in patients still worthy of rethinking and understanding, which is not necessary for normal fetal heart rate monitoring prompted the majority of cases is concerned; should be dynamic observation of clinical diagnosis of oligohydram-nios cases not simply the result will be a prompt criticality inspections oligohydramnios included cesarean section.
出处
《中外医疗》
2015年第2期52-53,共2页
China & Foreign Medical Treatment
关键词
羊水过少
妊娠晚期
临界性
静脉补液
超声检测
Oligohydramnios
third trimester of pregnancy
criticality
intravenous rehydration
ultrasonic testing
