解慧玲

【摘要】 目的：分析妊娠晚期羊水过少对妊娠结局及分娩方式的影响。方法：选取笔者所在医院2016年5月-2017年5月收治的60例妊娠晚期羊水过少孕妇作为观察组，另选同期60例妊娠晚期羊水正常孕妇作为对照组，比较二者妊娠结局及分娩方式差异。结果：对照组自然分娩率为83.3%，剖宫产率为16.7%，观察组自然分娩率为60.0%、剖宫产率40.0%，两组比较差异均有统计学意义（P<0.05）；观察组脐带异常发生率、胎儿窘迫发生率、新生儿窒息发生率、胎儿生长受限发生率、延期/过期妊娠发生率、胎儿畸形发生率均高于对照组，差异均有统计学意义（P<0.05）。结论：妊娠晚期羊水过少将对妊娠结局及分娩方式带来直接影响，应引起临床的高度重视。

【关键词】 妊娠晚期； 羊水过少； 妊娠结局； 分娩方式

doi：10.14033/j.cnki.cfmr.2018.7.054 文献标识码 B 文章编号 1674-6805（2018）07-0116-02

【Abstract】 Objective：To analyze the effect of oligohydramnios in late pregnancy on pregnancy outcome and mode of delivery.Method：Sixty pregnant women with late amniotic fluid were enrolled in the authors hospital from May 20 to May 2017 as observation group.Sixty pregnant women with normal amniotic fluid in late pregnancy were selected as the control group.The outcomes of the two pregnancies and the mode of delivery were compared difference.Result：The natural delivery rate was 83.3%，and the cesarean section rate was 16.7% in the control group，the natural delivery rate was 60.0%，and the cesarean section rate was 40.0% in the observation group，the differences were statistically significant （P<0.05）.The abnormal umbilical cord incidence，fetal distress incidence，neonatal asphyxia incidence，fetal growth restriction incidence， extended/expired pregnancy incidence， fetal abnormalities incidence in the observation group were higher than the control group，the differences were statistically significant（P<0.05）.Conclusion：Insufficient amniotic fluid in late pregnancy will have a direct impact on pregnancy outcome and mode of delivery，which should pay great attention to clinical practice.

【Key words】 Late pregnancy； Oligohydramnios； Pregnancy outcome； Mode of delivery

First-authors address：Yicheng Mary Leader Hospital，Yicheng 441400，China

妊娠晚期羊水過少是指羊水量<300 ml的情形，为胎儿危险的极其重要的信号，羊水过少时通常呈现出黏稠、浑浊、暗绿色特征[1]。既往研究曾指出该病症发生率约为0.1%，但近些年随着现代化诊疗器械的陆续推广使用，妊娠晚期羊水过少检出率提高至0.5%～4%，且依然处于明显上升态，若不及时予以处理势必会对母婴身心发育及生命安全带来严重威胁，日益引起临床的重视与关注[2-3]。鉴于此，本次研究围绕妊娠晚期羊水过少对妊娠结局及分娩方式的影响展开分析，旨在为临床干预工作顺利开展、改善母婴解决提供帮助，现内容报道如下。

1 资料与方法

1.1 一般资料

选取笔者所在医院2016年5月-2017年5月收治的60例妊娠晚期羊水过少孕妇作为观察组，年龄28～40岁，平均（34.22±1.24）岁；孕周38.5～41.2周，平均（39.50±0.55）周；孕次0～4次，平均（2.50±0.50）次；产次0～3次，平均（1.50±0.50）次。纳入标准：（1）最大羊水池与子宫轮廓相垂直深度测量法≤2 cm或羊水指数法≤8.0 cm或羊水直接测量<300 ml者；（2）无严重认知功能障碍或精神障碍者；（3）无其他全身严重器质性疾病者。……