摘要
目的：探讨足月妊娠羊水过少产妇的护理方法。方法：将188例羊水过少产妇分为阴道分娩组48例和剖宫产组140例，并进行精心护理，观察分娩方式与新生儿窒息的关系和羊水指数（AFI）≤5．0cm时分娩方式对新生儿的影响。结果：剖宫产组在AFI≤5．0cm时新生儿窒息发生率与阴道分娩组比较差异有统计学意义（P〈0．01）。AFI≤5．0cm择日剖宫产者新生儿窒息发生率与试产后剖宫产者比较差异有统计学意义（P〈0．01）。结论：羊水过少是新生儿窒息的重要因素之一，剖宫产和缩短产程是处理足月妊娠羊水过少、降低新生儿窒息、改善围产儿预后的重要措施。
Objective ： To explore the methods of nursing care for full - term pregnant women with oligohydramnios. Methods： 188 pregnant women with oligohydramnios were divided into vaginal delivery group （n = 48） and cesarean section group （n = 140）. All pregnant women were given careful nursing care and the observation was made on the relationship between modes of delivery and neonatal asphyxia and on the impact of delivery mode on newborn when amniotic fluid index （ AFI ） ≤ 5.0 cm. Resuits ： The statistically significant difference was found in the comparison of the incidence of neonatal asphyxia when AFI ≤〈 5.0 cm between the two groups { P 〈 0. 01） ; the significant difference was also found in the comparison of the incidence of neonatal asphyxia when AFI ≤ 5.0 cm between the pregnant women with cesarean section on the selective date and the pregnant women with cesarean section after a trial of vaginal delivery （ P 〈 0.01 ）. Conclusion ： Oligohydramnios is one of the important factors to cause neonatal asphyxia. Cesarean section and shortening birth process are the important measures to deal with oligohydramnios and reduce neonatal asphyxia improve the outcome of newborn.
关键词
羊水过少
分娩方式
新生儿窒息
护理
Oligohydramnios
Delivery mode
Neonatal asphyxia
Nursing
