羊膜腔灌注对羊水过少孕妇妊娠结局的影响(1)
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[摘要] 目的：探讨羊膜腔灌注生理盐水对羊水过少孕妇妊娠结局的影响。方法：选择2008年1月～2011年3月60例羊水过少孕妇，其中30例自愿接受羊膜腔灌注术(观察组)，另外30例选择产科常规治疗(对照组)。观察两组缩宫素激惹试验、羊水指数、妊娠周数、剖宫产率、产后出血率以及新生儿情况。结果：观察组缩宫素激惹试验阳性率、剖宫产率、产后出血率分别为6.67%、33.33%、3.33%，明显低于对照组的36.67%、56.67%、16.67%，而羊水指数(8.94±2.69)、妊娠周数(36.82±5.46)显著高于对照组的(5.24±2.01)和(34.78±5.34)(P<0.05)；观察组新生儿胎儿窘迫发生率、窒息率分别是16.67%、3.33%，明显低于对照组的46.67%、13.33%，对照组体重(2.27±0.31)kg、5min Apgar评分(6.37±1.05)分显著低于观察组的(2.76±0.42) kg、(8.75±1.16)分(P<0.05)。结论：羊膜腔灌注明显改善羊水过少孕妇妊娠结局，减少不良反应发生。
[关键词] 羊膜腔灌注；羊水过少；妊娠结局
[中图分类号] R714.2 [文献标识码] A [文章编号] 1673-7210(2011)06(c)-026-02
The effect of transabdominal amnioinfusion on the pregnancy outcome to patients with oligohydramnios
CHEN Xia, ZHU Yulian, CHEN Weihua, FENG Hongzhu, GU Fengchun
Department of Obstetrics, the Affiliated Jiangyin Hospital of Southeast University Medical College, Jiangsu Province, Jiangyin 214400, China
[Abstract] Objective: To investigate the effect of transabdominal amnioinfusion of saline on the pregnancy outcome to patients with oligohydramnios. Methods: 60 cases of oligohydramnios pregnant women were selected from January 2008 to March 2011, then 30 cases of voluntary acceptance of amniotic perfusion were the observation group, another 30 cases of obstetric selected routine treatment were the control group. Oxytocin irritation test, amniotic fluid index, gestational age, the rate of cesarean section and postpartum hemorrhage, perinatal outcome were observed and compared. Results: The positive rate of oxytocin challenge test (6.67%), cesareall section rate (33.33%) and postpartum hemorrhage rates (3.33%) in the observation group were significantly lower than those (36.67%, 56.67%, 16.67%) in the control group (P<0.05). The amniotic fluid index (8.94±2.69) and gestational weeks (36.82±5.46) in the observation group were significantly higher than those [(5 ......
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