CAJ | 학술논문

目的分析足月妊娠妇女超声检查提示可疑羊水过少时,阴道试产对围生期结局的影响.方法应用羊水指数(AFI)估测羊水量,并测定脐动脉收缩期最大血流速度(S)和舒张末期血流速度(D)比值(S/D),测定血雌三醇(E3),结合胎无应激试验(NST)和缩宫素激惹试验(OCT)或宫缩应激试验(CST)进行综合评价无异常,分析比较320例超声诊断可疑羊水过少的足月妊娠妇女(观察组)和320例羊水量正常无高危因素的足月妊娠妇女(对照组)阴道试产的分娩结局.结果两组新生儿窒息的发生率(9.1%与11.8%)和新生儿死亡率差异无统计学意义(P＞0.05),观察组急诊剖宫产率(30.0%)升高(P＜0.05).结论超声诊断可疑羊水过少的足月妊娠妇女,在严密监护下可行阴道试产.
목적 분석족월임신부녀초성검사제시가의양수과소시,음도시산대위생기결국적영향.방법 응용양수지수(AFI)고측양수량,병측정제동맥수축기최대혈류속도(S)화서장말기혈류속도(D)비치(S/D),측정혈자삼순(E3),결합태무응격시험(NST)화축궁소격야시험(OCT)혹궁축응격시험(CST)진행종합평개무이상,분석비교320례초성진단가의양수과소적족월임신부녀(관찰조)화320례양수량정상무고위인소적족월임신부녀(대조조)음도시산적분면결국.결과 량조신생인질식적발생솔(9.1%여11.8%)화신생인사망솔차이무통계학의의(P＞0.05),관찰조급진부궁산솔(30.0%)승고(P＜0.05).결론 초성진단가의양수과소적족월임신부녀,재엄밀감호하가행음도시산.
Objective To study the effects of oligohydramnios in full-term pregnancy women deliveried on the perinatal outcomes.Methods 320 suspected oligohydramnios cases from January 2008 to June 2009 were taken as observation group,and compared with 320 cases full-term pregnant women with normal amniotic fluid and without any high-risk factors as control group.B-type ultras onography was used to determine the volume and index of amniotic fluid and fetal umbilical blood flow index (S/D).Blood estriol was determined combining with non-stress test(NST)and oxytocin challenge test(OCT) or contraction stress test(CST) examination to evaluate maternal and fetal situation.The perinatal outcomes of the two groups was analyzed and compared.Result The neonatal asphyxiation and mortality rate between the two groups had no significant difference( P ＞ 0.05).The rate of cesarean section in the observation group was increased( P＜ 0.05).Conclusion The term pregnancy women with oligohydramnion during labour diagnosed by B-type ultrasonography should select vaginal delivery based on comprehensive examination.