中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
5期
991-993
,共3页
妊娠足月单纯性羊水过少%胎心监护%胎儿窘迫%新生儿窒息
妊娠足月單純性羊水過少%胎心鑑護%胎兒窘迫%新生兒窒息
임신족월단순성양수과소%태심감호%태인군박%신생인질식
simple oligohydramnios in full-term pregnancy%fetal heart rate monitoring%fetal distress%neonatal asphyxia
目的：探讨胎心监护在妊娠足月单纯性羊水过少孕妇中的临床意义及对妊娠结局的影响。方法选取2014年1至12月在西安交通大学第一附属医院产科住院分娩的妊娠单纯性羊水过少单胎孕妇155例作为病例组，其中产前超声报告羊水指数（ AFI）≤5cm者95例设为A组（羊水过少组），5cm＜AFI≤8cm者60例设为B组（羊水偏少组）；随机选取同期住院分娩的正常足月单胎孕妇200例为对照组，回顾性分析病例组与对照组、病例组A组与B组孕妇的胎心监护结果、分娩方式、围产儿结局。结果病例组与对照组孕妇的胎心监护异常率、剖宫产率、羊水Ⅱ度以上污染发生率比较，差异均有统计学意义（χ2值分别为80．149、113．456、8．130，均P＜0．05）。病例组A组与B组孕妇的胎心监护异常率、剖宫产率、羊水Ⅱ度以上污染发生率比较，差异均有统计学意义（χ2值分别为19．148、20．610、17．059，P＜0．05）。病例组与对照组、病例组A组与B组的新生儿窒息（Apgar评分≤7分）发生率比较，差异均无统计学意义（χ2值分别为2．890、0．418，均P＞0．05）。结论对妊娠足月单纯性羊水过少孕妇，尤其是AFI≤5cm者，加强产前监测，适时增加胎心监护次数，以便了解胎儿宫内情况，及时发现胎儿窘迫，适时终止妊娠，可有效改善围产儿预后。
目的：探討胎心鑑護在妊娠足月單純性羊水過少孕婦中的臨床意義及對妊娠結跼的影響。方法選取2014年1至12月在西安交通大學第一附屬醫院產科住院分娩的妊娠單純性羊水過少單胎孕婦155例作為病例組，其中產前超聲報告羊水指數（ AFI）≤5cm者95例設為A組（羊水過少組），5cm＜AFI≤8cm者60例設為B組（羊水偏少組）；隨機選取同期住院分娩的正常足月單胎孕婦200例為對照組，迴顧性分析病例組與對照組、病例組A組與B組孕婦的胎心鑑護結果、分娩方式、圍產兒結跼。結果病例組與對照組孕婦的胎心鑑護異常率、剖宮產率、羊水Ⅱ度以上汙染髮生率比較，差異均有統計學意義（χ2值分彆為80．149、113．456、8．130，均P＜0．05）。病例組A組與B組孕婦的胎心鑑護異常率、剖宮產率、羊水Ⅱ度以上汙染髮生率比較，差異均有統計學意義（χ2值分彆為19．148、20．610、17．059，P＜0．05）。病例組與對照組、病例組A組與B組的新生兒窒息（Apgar評分≤7分）髮生率比較，差異均無統計學意義（χ2值分彆為2．890、0．418，均P＞0．05）。結論對妊娠足月單純性羊水過少孕婦，尤其是AFI≤5cm者，加彊產前鑑測，適時增加胎心鑑護次數，以便瞭解胎兒宮內情況，及時髮現胎兒窘迫，適時終止妊娠，可有效改善圍產兒預後。
목적：탐토태심감호재임신족월단순성양수과소잉부중적림상의의급대임신결국적영향。방법선취2014년1지12월재서안교통대학제일부속의원산과주원분면적임신단순성양수과소단태잉부155례작위병례조，기중산전초성보고양수지수（ AFI）≤5cm자95례설위A조（양수과소조），5cm＜AFI≤8cm자60례설위B조（양수편소조）；수궤선취동기주원분면적정상족월단태잉부200례위대조조，회고성분석병례조여대조조、병례조A조여B조잉부적태심감호결과、분면방식、위산인결국。결과병례조여대조조잉부적태심감호이상솔、부궁산솔、양수Ⅱ도이상오염발생솔비교，차이균유통계학의의（χ2치분별위80．149、113．456、8．130，균P＜0．05）。병례조A조여B조잉부적태심감호이상솔、부궁산솔、양수Ⅱ도이상오염발생솔비교，차이균유통계학의의（χ2치분별위19．148、20．610、17．059，P＜0．05）。병례조여대조조、병례조A조여B조적신생인질식（Apgar평분≤7분）발생솔비교，차이균무통계학의의（χ2치분별위2．890、0．418，균P＞0．05）。결론대임신족월단순성양수과소잉부，우기시AFI≤5cm자，가강산전감측，괄시증가태심감호차수，이편료해태인궁내정황，급시발현태인군박，괄시종지임신，가유효개선위산인예후。
Objective To discuss clinical significance and the inflenece of fetal heart rate monitoring on pregnancy outcomes of full-term pregnant women with simple oligohydramnios.Methods From January to December 2014, 155 pregnant women with simple oligohydramnios delivering in First Affiliated Hospital of Xi’ an Jiaotong University were chosen as case group, including 95 cases with amniotic fluid index (AFI)≤5cm in group A (oligohydramnios group) and the other 60 cases (5cm <AFI≤8cm) in group B (amniotic fluid group).Two hundred cases of normal full-term singleton pregnancy hospitalized in the same period were randomly selected as control group.A retrospective analysis was carried out to analyze fetal monitoring results, delivery mode and perinatal outcomes of different groups.Results There were significant differences in abnormal fetal heart rate monitoring, cesarean section rate, and the incidence of amniotic fluid contamination II or above between the case group and the control group (χ2 value was 80.149, 113.456 and 8.130, respectively, all P<0.05).The differences in abnormal fetal heart rate monitoring, cesarean section rate, and the incidence of amniotic fluid contamination II or above between group A and group B were also significant (χ2 value was 19.148, 20.610 and 17.059, respectively, all P<0.05) .The incidence of neonatal asphyxia ( Apgar score≤7 points) was not obvious between the case group and the control group, group A and group B (χ2 value was 2.890 and 0.418, respectively, both P>0.05).Conclusion For full-term pregnant women with simple oligohydramnios, especially AFI≤5cm, perinatal prognosis can be improved effectively by strengthening prenatal monitoring and increasing fetal heart rate monitoring to understand intrauterine fetal situation, discover fetal distress timely and terminate pregnancy at right moment.
