羊水过少与妊娠并发症的关系及对围生儿的影响(1)
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【摘要】目的：观察羊水过少与妊娠并发症的关系及对围生儿的影响。方法：收集我院2008年1月-2010年1月住院分娩的135例妊娠羊水过少患者的临床资料及产后围产儿状况，随机抽取同期我院分娩的羊水量正常孕妇135例作为对照组, 两组孕妇就妊娠并发症、围生儿及母体情况进行比较。结果：羊水过少组中过期妊娠、胎儿宫内发育受限( FGR) 、妊娠高血压疾病( PIH )及胎儿畸形发生率均高于对照组，差异有统计学意义(P<0.01)；羊水过少组中同时合并两种、三种妊娠并发症的发生率均较对照组高，差异具有统计学意义(P<0.05,P <0.01), 胎儿宫内窘迫、新生儿窒息及羊水粪染的发生率也明显升高(P<0.05,P<0.01)。结论：羊水过少与妊娠并发症密切相关，可作为许多妊娠并发症的危险信号；羊水过少严重威胁围生儿生命，造成不良妊娠结局；如果同时合并妊娠并发症则风险更大。
【关键词】羊水过少；妊娠并发症；围生儿
The association of oligohydramnios with pregnancy complications and effect on perineonate
ZHAO Yanyu
【Abstract】Objective: To explore the association of oligohydramnios with pregnancy complications and effect on perineonate. Methods: The clinical data of 135 patients with oligohydramnios in our hospital from January 2008 to January 2010 were collected and condition of perinatal infant after delivery; 135 patients with normal amniotic fluid volume were selected randomly as control group. The complications of pregnancy、adverse perinatal outcomes and condition of matrix were analyzed. Results:Compared to control group, incidences of overdue pregnancy, fetal growth restriction( FGR), pregnancy induced hypertension syndrome( PIH ) and fetal anomalies in oligohydramnios group were obviously high and had significant difference ( P < 0.01). The incidences of two or three kinds of pregnancy group(P < 0.05, P < 0.01) . Occurrence of fetal distress, newborn asphyxia, and meconium stained fluid increased in this group(P < 0.01, P < 0.05) too. Conclusion: Intimate association of oligohydramnios with pregnancy complications is dentified,oligohydramnios can be seen as a risk signal of many pregnancy complications. Oligohydramnios severely threaten perinatal life and causes harmful of parturition and the risk will increase if oligohydramnios patients complicated with pregnancy complications.
【Key words】 oligohydramnios; pregnancy complications; perineonat
【中图分类号】R892【文献标识码】B【文章编号】1005-0515(2011)04-0034-02
羊水是胎儿的生长发育过程中起重要作用的组成部分。羊水过少是胎儿生命危险极其重要的信号，可以发生于妊娠的各期，除外胎膜早破导致的羊水过少称为原发性羊水过少( primary oligohydramniose)，随着围生医学的研究进展及超声诊断技术在临床中的广泛应用 ......
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