摘要
目的:探讨妊娠中期及妊娠34周前羊水过少的病因及其对新生儿预后影响。方法:回顾性分析141例羊水过少患者,按初诊孕周分为3组:<28周组,28～32周组,32～34周组,分析不同组间羊水过少的病因、终止妊娠的孕周、终止妊娠的指征、新生儿体重、Apgar评分及其新生儿生存率及出院时的患病率。结果:羊水过少最常见的原因为胎膜早破(49.6%),其次为妊娠期高血压疾病(19.9%)、胎儿畸形(15.6%,其中泌尿系畸形5.0%)、胎盘因素(5.0%)、脐带因素(3.5%)、胎儿宫内生长受限(0.7%)、原因不明(5.7%)。随妊娠周数的增加,新生儿死亡率及新生儿重度窒息率逐渐下降,且在不同孕周组间差异有统计学意义(P<0.05)。结论:胎膜早破是羊水过少最常见原因,对不同孕周的羊水过少患者应个体化选择处理方式,以提高新生儿生存质量。
Objective：To evaluate factors of oligohydramnios and neonatal prognosis. Methods：Data based on 141 cases of oligohydramnios were analyzed retrospectively.The whole set were divided into three groups according to diagnosis gestation（28weeks,28~32 weeks,32~34weeks）.Factors of oligohydramnios,such as preliminary diagnosis gestation week,termination gestation week,indication of termination pregnancy,neonatal wight,Apgar score,neonatal morbidity and mortality,were analyzed comparatively among the three groups. Results：The most common factor of early onset oligohydramnios was premature rupture of membrane（PPROM）（49.6%）.The others were respectively preeclampsia（19.9%）,fatal anomalies（15.6%）,placentalfactor（5.0%）,umbilical cord factor（3.5%）,intrauterine growth retardation（IUGR）（0.7%）and unknown factors（5.7%）.With increase of gestation weeks＇,neonatal mortality and higy-degreeneonatal asphyxia rate decrease.Neonatal mortality and severe neonatal asphyxia rate had statistic significance among the three groups（P〈0.05）. Conclusion：Premature rupture of membrane is the most important reason for early onset oligohydramnios.Clinical treatment regimen may be chosen for patients with different gestation weeks＇ individually,in order to increase neonatal quality.
出处
《中国妇幼保健》
CAS
北大核心
2012年第14期2142-2144,共3页
Maternal and Child Health Care of China
关键词
羊水过少
围生儿预后
病因
Oligohydramnios
Neonatal prognosis
Factor
