CAJ | 학술논문

目的：减少足月妊娠羊水过少围产儿并发症的发生。方法选择2011年至2013年来我院分娩的足月妊娠羊水过少孕妇128例作为观察组，37周后 B 超提示羊水过少立即收住院，有剖宫产指征者立即剖宫产；部分产妇阴道试产，密切监测产程。随机选择同期非羊水过少的产妇128例作为对照组。比较两组产妇剖宫产率、分娩孕周＞40周、B 超提示胎盘Ⅲ级和发生妊娠合并贫血、妊娠期糖尿病、妊娠期高血压疾病、胎膜早破、羊水Ⅱ度或Ⅲ度污染、产后出血等情况；比较两组围产儿发生巨大儿、胎儿生长受限、脐带异常、胎儿宫内窘迫、新生儿室息、新生儿肺发育不良、新生儿肺炎、新生儿畸形等情况。结果两组产妇剖宫产率、分娩孕周＞40周、B 超提示胎盘Ⅲ级和发生妊娠合并贫血、妊娠期高血压疾病、胎膜早破、羊水Ⅱ度或Ⅲ度污染间比较差异均有统计学意义（P ＜0.05、P ＜0.01）；两组围产儿发生巨大儿、胎儿生长受限、胎儿宫内窘迫间比较差异均有统计学意义（P ＜0.05），发生新生儿室息、新生儿肺发育不良、新生儿肺炎、新生儿畸形间比较差异均无统计学意义（P ＞0.05）。结论如能加强围产期保健，及时发现羊水过少，及早进行适当的处理，可减少足月妊娠羊水过少围产儿并发症的发生。
목적：감소족월임신양수과소위산인병발증적발생。방법선택2011년지2013년래아원분면적족월임신양수과소잉부128례작위관찰조，37주후 B 초제시양수과소립즉수주원，유부궁산지정자립즉부궁산；부분산부음도시산，밀절감측산정。수궤선택동기비양수과소적산부128례작위대조조。비교량조산부부궁산솔、분면잉주＞40주、B 초제시태반Ⅲ급화발생임신합병빈혈、임신기당뇨병、임신기고혈압질병、태막조파、양수Ⅱ도혹Ⅲ도오염、산후출혈등정황；비교량조위산인발생거대인、태인생장수한、제대이상、태인궁내군박、신생인실식、신생인폐발육불량、신생인폐염、신생인기형등정황。결과량조산부부궁산솔、분면잉주＞40주、B 초제시태반Ⅲ급화발생임신합병빈혈、임신기고혈압질병、태막조파、양수Ⅱ도혹Ⅲ도오염간비교차이균유통계학의의（P ＜0.05、P ＜0.01）；량조위산인발생거대인、태인생장수한、태인궁내군박간비교차이균유통계학의의（P ＜0.05），발생신생인실식、신생인폐발육불량、신생인폐염、신생인기형간비교차이균무통계학의의（P ＞0.05）。결론여능가강위산기보건，급시발현양수과소，급조진행괄당적처리，가감소족월임신양수과소위산인병발증적발생。
Objective to reduce perinatal complications in pregnancy oligohydramnios. Methods from 2011 to 2013 in our hospital delivery of a full-term pregnancy with oligohydramnios 128 cases as the observation group, 37 weeks after B ultrasound for oligohydramnios immediately admitted to hospital, there are indications of cesarean section immediately cesarean section; part of maternal vaginal delivery, close monitoring of the production process. randomly selected non oligohydramnios pregnant women as control group of 128 cases. Comparison of two groups of maternal cesarean section rate, gestational age >40 weeks, B ultrasound suggesting placental grade iii and anemia in pregnancy, gestational diabetes, hypertension, premature rupture of membranes of pregnancy, premature rupture of amniotic fluid II or III degree of pollution, postpartum hemorrhage were compared between the two groups; perinatal giant big son, fetal growth limited, umbilical cord abnormalities, fetal distress, neonatal asphyxia, neonatal pulmonary hypoplasia, neonatal pneumonia, neonatal malformations etc.Results of two groups of maternal cesarean section rate, gestational age > 40 weeks, B ultrasound suggesting placental grade III and anemia in pregnancy, pregnancy induced hypertension, premature rupture of membranes, premature rupture of amniotic fluid II or III degree of pollution differences were statistically significant (P < 0.05, P < 0.01); the two group of perinatal infants macrosomia, fetal growth restriction, fetal distress, compared the differences were statistically significant (P < 0.05), occurrence of neonatal asphyxia, neonatal pulmonary hypoplasia, neonatal pneumonia, neonatal malformations. There was no significant difference (P >0.05). Conclusion to strengthen perinatal health care, timely detection of oligohydramnios, early and appropriate treatment, can reduce perinatal complications in pregnancy oligohydramnios.