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目的:探讨足月妊娠羊水偏少与妊娠结局的关系及处理方式。方法:回顾分析2012年12月-2013年11月住院病例,羊水偏少但无产科高危疾病的足月妊娠产妇84例作为观察组,同时选取羊水量无异常,并且无产科高危疾病的产妇84例作为对照组。结果:观察组胎儿生长受限发生率、羊水粪染指数、胎儿窘迫与新生儿窒息的发生率明显比对照组高,差异显著,具有统计学意义(P<0.05),羊水偏少仍有70.7%为顺产。结论:产科临床应重视羊水偏少的临床意义,在严密监护、胎儿状态良好情况下可经阴道分娩。
Objective: To investigate the relationship between gestational amniotic fluid deficiency and gestational outcome and its treatment. Methods: A retrospective analysis of 84 hospitalized full-term pregnant women with in-hospital cases, low amniotic fluid but no obstetric high-risk disease from December 2012 to November 2013 was taken as the observation group. At the same time, 84 women with no amniotic fluid abnormalities and no obstetric high-risk maternal 84 Cases as a control group. Results: The incidence of fetal growth restriction, amniotic fluid meconception index, fetal distress and neonatal asphyxia in the observation group were significantly higher than those in the control group (P <0.05), while those in the amniotic fluid were still as low as 70.7 % For the natural product. Conclusion: Obstetric clinical should pay more attention to the clinical significance of oligohydramnios, which can be vaginally delivered with close monitoring and good fetal status.