摘要
目的探讨妊娠晚期羊水不足对妊娠结局的影响。方法选取我院2017年10月~2018年10月收治的120例孕妇,按照羊水情况分为观察组(60例)与对照组(60例),其中观察组晚期妊娠羊水不足,对照组晚期妊娠羊水正常。比较两组孕妇的围生情况(妊娠高血压病、过期妊娠、产程、产后出血量)、围生儿情况(新生儿窒息、羊水污染、胎儿畸形、胎儿生长受限、吸入性肺炎、新生儿Apgar评分)以及孕产妇的分娩方式(阴道分娩、剖宫产)。结果观察组的妊娠高血压、过期妊娠、胎儿窘迫、胎儿畸形、羊水污染、胎儿生长受限、新生儿窒息、吸入性肺炎发生率高于对照组,差异有统计学意义(P<0.05)。观察组的产程及产后出血量均多于对照组,差异有统计学意义(P<0.05)。观察组的新生儿Apgar评分低于对照组,差异有统计学意义(P<0.05)。观察组的阴道分娩率低于对照组,剖宫产率高于对照组,差异有统计学意义(P<0.05)。结论妊娠期间羊水不足对围生儿预后可造成不良影响,应及时选择正确的分娩方式,从而改善围生儿的预后。
Objective To explore the influence of oligohydramnios at late pregnancy trimester on the pregnancy outcomes. Methods A total of 120 pregnant women admitted from October 2017 to October 2018 in our hospital were selected and divided into the observation group (n=60) and the control group (n=60) according to amniotic fluid conditions. The observation group had oligohydramnios at late pregnancy trimester,the control group had normal amniotic fluid levels at late pregnancy trimester. The perinatal conditions (pregnancy-induced hypertension,post-term pregnancy,labor stage,postpartum bleeding volume),perinatal infant′s conditions (neonatal asphyxia,amniotic fluid pollution,fetal malformation,fetal growth restriction,aspiration pneumonia,Apgar scores) and delivery modes (vaginal delivery,cesarean section) were compared between the two group. Results The incidence rate of pregnancy-induced hypertension,post-term pregnancy,fetal distress,fetal malformation,amniotic fluid pollution,fetal growth restriction,neonatal asphyxia and aspiration pneumonia in the observation group were higher than those in the control group,with statistically significant difference (P<0.05). The course of labor and postpartum hemorrhage in the observation group were more than those in the control group,with statistically significant difference (P<0.05). The Apgar score of the observation group was lower than that of the control group,with statistically significant difference (P<0.05). The vaginal delivery rate in the observation group was lower than that in the control group,and the cesarean section rate in the observation group was higher than that in the control group,with statistically significant difference (P<0.05). Conclusion During pregnancy,oligohydramnios can have adverse effects on the prognosis of perinatal infants. The correct delivery mode should be selected in time to improve the prognosis of perinatal infants.
作者
肖夏清
章青英
XIAO Xia-qing;ZHANG Qing-ying(Department of Obstetrics,Hospital of Traditional Chinese Medicine of Qingyuan City in Guangdong Province,Qingyuan 511500,China)
出处
《中国当代医药》
2019年第14期101-103,共3页
China Modern Medicine
基金
广东省中医药局科研项目:传承发展中医药事业专项资金(20181294)
关键词
妊娠结局
羊水不足
妊娠晚期
分娩方式
Pregnancy outcomes
Oligohydramnios
Late pregnancy trimester
Delivery modes
