【摘要】 [目的]探讨晚期妊娠羊水过少的相关因素,寻找正确的处理方法,降低围产儿病死率。[方法]对厦门市中医院2006年1月至2007年1月诊断为羊水过少的307例产妇资料进行分析。[结果]3610名产妇中,羊水过少的307例,羊水过少发生率为8.50%。孕周<40周的为4.39%,40~41周的为9.13%,≥42周的为30.21%,不同孕周羊水过少发生率的差异有统计学意义(P<0.01)。307例中,267例(占86.97%)产前B超诊断羊水过少。围生儿胎儿宫内窘迫发生率为31.92%,羊水粪染发生率为30.94%,新生儿窒息发生率为16.61%,脐带缠绕发生率为29.64%。分娩时羊水粪染发生率剖宫产者(247例)为16.60%,阴道分娩者(60例)为33.33%,差异有统计学意义(P<0.01);新生儿窒息发生率剖宫产者为6.88%,阴道分娩者为15.00%,差异有统计学意义(P<0.05)。[结论]晚期妊娠羊水过少发生率较高,确诊后应尽量采取剖宫产,以降低围产儿病死率。更多还原

【Abstract】 [Objective]To discuss the correlation factor of oligohydramnios in late pregnancy,and find a perfect treatment in order to degrade fatality of the newborn.[Methods]We analyzed 307 patient that diagnosed oligohydramnios in late pregnancy in Xiamen Hospital of TCM.[Results]During 3 610 puerperan,307 were diagnosed oligohydramnios(8.50%).Incidence rate of oligohydramnios was 4.39% befor 40 weeks,9.13% between 40 and 41 weeks,30.21% after 42 weeks.267 were diagnosed by antepartum ultrasound examination(86.97%).In the 307 patients,Incidence rate of fetal distress in uterus was 31.92%;of amniotic fluid contaminate was 30.94%;of apnoea neonatorum was 16.61%;of cord entanglement was 29.64%.While accouchement,incidence rate of amniotic fluid contaminate was 16.60% in 247 patients that take uterine-incision delivery,and 33.33% in 60 patients that take vaginal delivery;incidence rate of of apnoea neonatorum was 6.88% in 247 patients that take uterine-incision delivery,and 15.00% in 60 patients that take vaginal delivery.[Conclusion]Oligohydramnios occures more in late pregnancy.Once diagnosed,uterine-incision delivery should be chosed as far as possible in order to degrade fatality of the newborn.更多还原