江容

[摘要] 目的 探讨静脉补液治疗妊娠晚期临界性羊水过少的临床价值。 方法 选取2012年11月—2013年12月64例妊娠晚期临界性羊水过少患者，根据无应激反应实验结果及治疗方案将其分为两组，每组32例。两组患者均在入院后接受两次超声检测，分别在治疗前后观察两组羊水指数及最大羊水池深度。 结果 实验组治疗后羊水指数及最大羊水池深度有明显变化（P<0.05）；第二次超声检测结果提示，对照组羊水指数及最大羊水池深度与实验组差异无统计学意义（P>0.05）；对照组前次超声检测结果与二次超声检测结果，差异有统计学意义（P<0.05）。 结论 是否应给予临界性羊水过少患者传统静脉补液治疗仍然值得临床重新思考和认识，其对于胎心监护提示正常的大部分病例而言并无必要；临床应动态观察羊水过少诊断病例，不可单纯将1次检查结果提示临界性羊水过少纳入剖宫产指征。

[关键词] 羊水过少；妊娠晚期；临界性；静脉补液；超声检测

[中图分类号] R [文献标识码] A [文章编号] 1674-0742（2015）01（b）-0052-02

Intravenous rehydration therapy in late pregnancy oligohydramnios criticality analysis of clinical value

JIANG Rong

Department of obstetrics and gynecology，The second people's Hospital of Shanwei （Yihui's Funds Hospitals of Shanwei）， Guangdong， 516600，China

[Abstract] Objective To observe intravenous rehydration therapy in late pregnancy criticality oligohydramnios clinical value. Methods 64 cases of late pregnancy in patients with borderline oligohydramnios in our hospital from November 2012 to December 2013，based on the experimental results without the stress response and its treatment were divided into two groups，32 cases of each group.Patients were admitted to hospital twice after ultrasonic testing， respectively， were observed amniotic. Results The experimental group amniotic fluid index and maximum pool depth sheep significant changed after treatment （P<0.05）.The second ultrasound test results suggested that in the control group amniotic fluid index and maximum pool depth sheep and experimental groups was not statistically significant （P>0.05）.Previous results in the control group and the secondary ultrasound ultrasound test results were statistically significant differences（P<0.05）. Conclusion Should be given the critical nature of oligohydramnios traditional intravenous rehydration therapy in patients still worthy of rethinking and understanding， which is not necessary for normal fetal heart rate monitoring prompted the majority of cases is concerned； should be dynamic observation of clinical diagnosis of oligohydramnios cases not simply the result will be a prompt criticality inspections oligohydramnios included cesarean section.

[Key words] Oligohydramnios； third trimester of pregnancy； criticality； intravenous rehydration； ultrasonic testing

围产儿常因羊水过少而出现不良结局。所以在足月妊娠剖宫产指征中，羊水过少成为其中主要的一项。据文献报道[1]，在剖宫产病例中，剖宫产指征为羊水过少者约占12%。现阶段，临床大多选择静脉补液方案来处治羊水过少病例，并将其视为常规治疗方案。从部分病例治疗结果来看，该方案确定可增加羊水量，然而用于治疗临界性羊水过少的效果以及必要性仍然值得临床思考。该研究探讨2012年11月—2013年12月静脉补液治疗妊娠晚期临界性羊水过少的临床价值，现报道如下。endprint

1 资料与方法

1.1 一般资料

选取该院收治的64例妊娠晚期临界性羊水过少患者，入组患者临床症状均与妇产科学第七版相关诊断标准[2]相符，即通过羊水指数（AFI）法，羊水过少诊断临界值为AFI≤8.0 cm，入组病例AFI指数均超过5.0 cm，同时排除妊娠合并症与其他并发症。按照无应激反应实验结果及治疗方案，将其随机分为两组，每组32例。……