摘要
目的 :探讨羊水过少的早期诊断及处理与围产儿预后的关系。方法 :对 1 87例羊水过少 (羊水过少组 )患者的临床资料进行回顾性分析 ,并与同期正常分娩者 (正常对照组 )的围产儿情况进行比较。结果 :1 87例羊水过少患者中 ,发生率为 4 .3% (1 87/ 4 35 6 ) ;羊水过少组的胎儿宫内发育迟缓、胎儿宫内窘迫、新生儿吸入性肺炎及新生儿窒息发生率均明显高于对照组 (P均 <0 .0 5 )。产前B超羊水指数法 (AFI法 )诊断率为 6 8.4 8% (1 2 9/ 1 87) ,符合率为97.6 7% (1 2 6 / 1 2 9)。结论 :应重视产前B超检查对羊水的动态监测 ;在分娩方式上 ,应结合是否合并高危因素、胎心监护以及宫颈条件等情况综合分析 ,采取必要的措施 。
Objective:To assess the relationship between the early diagnosis and properly treatment of oligohydramnios and fetal outcome.Methods:A total of 187 cases of oligohydramnios from January 2000 to December 2002 were analyzed and compared with normal parturition.Results:The incidence of oligohydramnios was 4.3%.The rate of IUGR,fetal distress , neonatal pneumonia and asphyxia in oligohydramnios group were statistically higher than in the control group respectively( P <0.05).The B model ultrasound measured amniotic fluid index (AFI)≤8 cm was taken as the diagnostic standard for oligohydramnios.With this standard,68.48% of patients were diagnosed with oligohydramnios,and the AFI between 8.1 cm to 12.0 cm were seen in 24.46%,AFI>12 cm in 7.06%.Conclusions:We should recognize the dynamic inspection of amniotic fluid with the B model ultrasound and clinical fetus ward to improve the rate of diagnoses.Once it is accurately diagnosed,we must take necessary step for parturition combine with high dangerous complication,clinical fetus ward and the condition of cervix.Cesarean section should be considered the best choice.
出处
《实用临床医学（江西）》
CAS
2004年第4期75-77,共3页
Practical Clinical Medicine
关键词
羊水过少
羊水指数
围产儿
预后
oligohydramnios
amniotic fluid index
fetal outcome
prognosis
