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目的:探讨妊娠晚期羊水偏少孕妇实施阴道试产的临床效果。方法:选择120例羊水偏少孕妇作为观察组,并于同期180例足月妊娠羊水正常孕妇作为对照组,比较两组的生产情况。结果:产前进行缩宫应激试验(CST)或者催产素激惹试验(OCT),两组产前CST/OCT的变异减速(VD)、晚期减速(LD)比较差异无统计学意义(P>0.05),产时CST/OCT两组的VD、LD比较差异有统计学意义(P<0.01);观察组以剖宫产的方式分娩率高于对照组,羊水粪染情况好于对照组,差异均有统计学意义(P<0.05);胎儿窘迫情况、Apgar评分两组的差异无统计学意义(P>0.05)。结论:妊娠晚期羊水偏少孕妇在严密监护下实施阴道试产安全有效,可顺利进行分娩。
Objective: To investigate the clinical effect of trimester vaginal trimester amniotic fluid pregnancy in late pregnancy. Methods: 120 cases of oligohydramnios less pregnant women were selected as the observation group and 180 cases of full-term pregnant women with amniotic fluid as control group were enrolled. The production of the two groups were compared. Results: CST or OCT were observed in prenatal period. There was no significant difference in pre-natal CST / OCT between degeneration (VD) and late deceleration (P) (P > 0.05). There were significant differences in VD and LD between CST / OCT group and labor group (P <0.01). Cesarean delivery rate was higher in the observation group than in the control group, and meconium-stained amniotic fluid was better than the control group (P <0.05). There was no significant difference in fetal distress and Apgar scores between the two groups (P> 0.05). Conclusion: In the third trimester, pregnant women with oligohydramnios are safe and effective in vaginal trial.