静脉补液治疗对妊娠晚期羊水偏少孕妇血液流变及胎儿脐血流的影响(1)
[摘要]目的 观察与探究静脉补液治疗妊娠晚期羊水偏少孕妇血液流变及胎儿血流的影响。方法 选取2016年1～12月我院收治的120例妊娠晚期羊水偏少孕妇作为研究对象，将其随机分为对照组和观察组，每组各60例。对照组未进行补液治疗，观察组则进行静脉补液。统计与比较两组干预前后的血液流变、胎儿脐动脉血流指标及妊娠结局情况。结果 干预前两组的血液流变、胎儿脐动脉血流指标比较，差异无统计学意义(P>0.05)，干预后观察组血液流变、胎儿脐动脉血流指标及不良妊娠结局发生率均低于对照组，差异有统计学意义(P<0.05)。结论 静脉补液治疗对妊娠晚期羊水偏少孕妇血液流变及胎儿血流的影响较好，对胎儿及孕妇状态的改善有一定的临床意义。
[关键词]静脉补液；妊娠晚期羊水偏少；血液流变；胎儿脐血流
[中图分类号] R714.259 [文献标识码] A [文章编号] 1674-4721(2018)5(b)-0098-03
Influence of intravenous infusion for the hemorheology and fetal blood flow of pregnant women with critical amniotic fluid oligohydramnios in late pregnancy
XUE Jie-hao YOU Hai-ying YI Ling QIU Xue-ling LIANG Shu-jun
Department of Gynaecology and Obstetrics，Maternal and Child Health Care Hospital of Qingyuan City，Guangdong Province，Qingyuan 511800，China
[Abstract]Objective To observe and investigate the influence of intravenous infusion for the hemorheology and fetal blood flow of pregnant women with critical amniotic fluid oligohydramnios in late pregnancy.Methods 120 pregnant women with critical amniotic fluid oligohydramnios in late pregnancy from January to December 2016，were selected for the study，and they were randomly divided into control group and observation group，60 cases in each group.The control group were without intravenous infusion，the observation group were treated with intravenous infusion.Then the hemorheology，fetal umbilical artery blood flow indexes and pregnancy outcome of two groups before and after the intervention were analyzed and compared.Results The hemorheology and fetal umbilical artery blood flow indexes of two groups before the intervention were compared，the difference were not statistically significant(P>0.05)，the hemorheology，fetal umbilical artery blood flow indexes and the rate of abnormal pregnancy in observation group after the intervention were all lower than those of conrtrol group，the differences were statistically significant(P<0.05).Conclusion The influence of intravenous infusion for the hemorheology and fetal blood flow of pregnant women with critical amniotic fluid oligohydramnios in late pregnancy are better，and it has certain clinical significance for the improvement of fetus and pregnant women′state.
[Key words]Intravenous infusion；Pregnant women with critical amniotic fluid oligohydramnios in late pregnancy；Hemorheology；Fetal blood flow
羊水偏少可導致孕妇及胎儿不良情况的发生，危害明显，因此临床对于羊水偏少的干预重视程度较高。有研究认为，妊娠晚期羊水偏少的早期干预可显著改善妊娠结局，其中静脉补液是研究较多但研究争议十分突出的一类干预方式[1-2]，对静脉补液更为细致全面的研究极为必要。另外，有研究[3]认为，羊水偏少包括妊娠晚期羊水偏少孕妇普遍显示血液流变、胎儿脐动脉血流指标的异常，因此此方面的干预需求较高。本研究对静脉补液治疗妊娠晚期临界性羊水偏少孕妇血液流变及胎儿血流的影响进行观察与研究，现报道如下。, 百拇医药(薛洁好 尤海英 易灵 邱雪玲 梁淑君)
[关键词]静脉补液；妊娠晚期羊水偏少；血液流变；胎儿脐血流
[中图分类号] R714.259 [文献标识码] A [文章编号] 1674-4721(2018)5(b)-0098-03
Influence of intravenous infusion for the hemorheology and fetal blood flow of pregnant women with critical amniotic fluid oligohydramnios in late pregnancy
XUE Jie-hao YOU Hai-ying YI Ling QIU Xue-ling LIANG Shu-jun
Department of Gynaecology and Obstetrics，Maternal and Child Health Care Hospital of Qingyuan City，Guangdong Province，Qingyuan 511800，China
[Abstract]Objective To observe and investigate the influence of intravenous infusion for the hemorheology and fetal blood flow of pregnant women with critical amniotic fluid oligohydramnios in late pregnancy.Methods 120 pregnant women with critical amniotic fluid oligohydramnios in late pregnancy from January to December 2016，were selected for the study，and they were randomly divided into control group and observation group，60 cases in each group.The control group were without intravenous infusion，the observation group were treated with intravenous infusion.Then the hemorheology，fetal umbilical artery blood flow indexes and pregnancy outcome of two groups before and after the intervention were analyzed and compared.Results The hemorheology and fetal umbilical artery blood flow indexes of two groups before the intervention were compared，the difference were not statistically significant(P>0.05)，the hemorheology，fetal umbilical artery blood flow indexes and the rate of abnormal pregnancy in observation group after the intervention were all lower than those of conrtrol group，the differences were statistically significant(P<0.05).Conclusion The influence of intravenous infusion for the hemorheology and fetal blood flow of pregnant women with critical amniotic fluid oligohydramnios in late pregnancy are better，and it has certain clinical significance for the improvement of fetus and pregnant women′state.
[Key words]Intravenous infusion；Pregnant women with critical amniotic fluid oligohydramnios in late pregnancy；Hemorheology；Fetal blood flow
羊水偏少可導致孕妇及胎儿不良情况的发生，危害明显，因此临床对于羊水偏少的干预重视程度较高。有研究认为，妊娠晚期羊水偏少的早期干预可显著改善妊娠结局，其中静脉补液是研究较多但研究争议十分突出的一类干预方式[1-2]，对静脉补液更为细致全面的研究极为必要。另外，有研究[3]认为，羊水偏少包括妊娠晚期羊水偏少孕妇普遍显示血液流变、胎儿脐动脉血流指标的异常，因此此方面的干预需求较高。本研究对静脉补液治疗妊娠晚期临界性羊水偏少孕妇血液流变及胎儿血流的影响进行观察与研究，现报道如下。, 百拇医药(薛洁好 尤海英 易灵 邱雪玲 梁淑君)