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目的探讨未足月胎膜早破后残余羊水指数对妊娠结局和新生儿的影响。方法随机抽取2011年1月至2013年12月我院收治的未足月胎儿胎膜早破孕妇120例,根据孕妇羊水量分为羊水过少组、羊水正常组以及羊水偏少组,均给予抗生素、糖皮质激素、宫缩抑制剂进行治疗,对残余羊水指数对妊娠结局和新生儿的影响进行分析。结果羊水过少组孕妇在胎膜早破后,羊膜腔感染、子宫内膜炎、新生儿窒息、新生儿病死、新生儿败血症、胎儿窘迫等发生率均明显高于羊水正常组和羊水偏少组孕妇,差异有统计学意义(P<0.05);羊水过少组孕妇的剖宫产率明显高于羊水正常组,差异有统计学意义(P<0.05);但羊水过少组孕妇的剖宫产率与羊水偏少组相比,差异无统计学意义(P>0.05)。结论未足月胎膜早破孕妇在接受治疗过程中,医护人员要对孕妇的羊水量进行密切监测,以及时发现孕妇存在的感染以及胎儿窘迫等现象,并对母婴情况进行详细评估。
Objective To investigate the effect of residual amniotic fluid index (IUF) on pregnancy outcomes and neonates after undernutrition. Methods A total of 120 pregnant women with premature rupture of membranes were enrolled from January 2011 to December 2013 in our hospital. According to the amount of amniotic fluid in pregnant women, they were divided into oligohydramnios group, normal amniotic fluid group and amniotic fluid oligohydramnios group Antibiotics, glucocorticoids, tocolytic agents for treatment, the residual amniotic fluid index of pregnancy outcomes and neonatal impact analysis. Results The incidence of amniotic fluid infection, endometritis, neonatal asphyxia, neonatal death, neonatal sepsis and fetal distress were significantly higher in pregnant women with oligohydramnios than those in normal amniotic fluid and amniotic fluid Group pregnant women, the difference was statistically significant (P <0.05); cesarean section rate of pregnant women with oligohydramnios group was significantly higher than normal amniotic fluid group, the difference was statistically significant (P <0.05); but oligohydramnios group of pregnant women There was no significant difference in uterine labor rate between the two groups (P> 0.05). Conclusion In the course of treatment, pregnant women with preterm premature rupture of membranes suffered from premature rupture of membranes, medical and nursing staff should closely monitor the amount of amniotic fluid in pregnant women, timely detect the pregnant women’s infection and fetal distress, and conduct a detailed assessment of maternal and infant conditions.