中华妇幼临床医学杂志（电子版）
中華婦幼臨床醫學雜誌（電子版）
중화부유림상의학잡지（전자판）
Chinese Journal of Obstetrics & Gynecology and Pediatrics (Electronic Edition)
2015年
5期
621-624
,共4页
邓青春%常青%王丹%严小丽
鄧青春%常青%王丹%嚴小麗
산청춘%상청%왕단%엄소려
足月妊娠%羊水过少%剖宫产术%妊娠结局
足月妊娠%羊水過少%剖宮產術%妊娠結跼
족월임신%양수과소%부궁산술%임신결국
Full-term pregnancy%Oligohydramnios%Cesarean section%Pregnancy outcome
目的：探讨足月妊娠合并羊水过少对分娩期孕妇及围生儿的影响。方法选择2013年1月至2014年12月在第三军医大学第一附属医院确诊为足月妊娠合并羊水过少的287例孕妇为研究对象,并纳入羊水过少组。随机抽取同期在该院分娩的300例足月妊娠且羊水量正常孕妇纳入对照组。统计学比较两组孕妇胎儿畸形、过期妊娠、胎儿生长受限(FGR)及妊娠期高血压疾病发生率和剖宫产率差异,分别比较两组孕妇在不同分娩方式下,其围生儿结局差异。结果①羊水过少组胎儿畸形、过期妊娠、FGR 及妊娠期高血压疾病发生率和剖宫产率均较羊水正常组高,且差异均有统计学意义(1.7% vs 0.3%,χ2=2.83, P <0.01；13.2% vs 3.0%,χ2=20.88,P <0.05；3.8% vs 0.6%,χ2=6.70,P <0.01；7.0% vs 1.6%,χ2=10.11,P <0.05；82.9% vs 30.7%,χ2=162.76,P <0.01)。②羊水过少组中,阴道分娩孕妇的新生儿平均体质量较剖宫产孕妇分娩新生儿重,阴道分娩孕妇新生儿宫内窘迫、吸入性肺炎及新生儿窒息发生率均较剖宫产孕妇分娩新生儿高,上述差异均有统计学意义[(3308±346)g vs (3194±373)g,t =2.03,P <0.05；36.7% vs 18.1%,χ2=8.46,P <0.05；32.6% vs 17.6%,χ2=5.52,P <0.01；30.6% vs 15.6%,χ2=6.22,P <0.01]。结论足月妊娠合并羊水过少孕妇,分娩期阴道分娩的风险高于羊水正常孕妇。对羊水过少孕妇应加强围生期保健,定期做好产前检查,以改善围生儿结局。
目的：探討足月妊娠閤併羊水過少對分娩期孕婦及圍生兒的影響。方法選擇2013年1月至2014年12月在第三軍醫大學第一附屬醫院確診為足月妊娠閤併羊水過少的287例孕婦為研究對象,併納入羊水過少組。隨機抽取同期在該院分娩的300例足月妊娠且羊水量正常孕婦納入對照組。統計學比較兩組孕婦胎兒畸形、過期妊娠、胎兒生長受限(FGR)及妊娠期高血壓疾病髮生率和剖宮產率差異,分彆比較兩組孕婦在不同分娩方式下,其圍生兒結跼差異。結果①羊水過少組胎兒畸形、過期妊娠、FGR 及妊娠期高血壓疾病髮生率和剖宮產率均較羊水正常組高,且差異均有統計學意義(1.7% vs 0.3%,χ2=2.83, P <0.01；13.2% vs 3.0%,χ2=20.88,P <0.05；3.8% vs 0.6%,χ2=6.70,P <0.01；7.0% vs 1.6%,χ2=10.11,P <0.05；82.9% vs 30.7%,χ2=162.76,P <0.01)。②羊水過少組中,陰道分娩孕婦的新生兒平均體質量較剖宮產孕婦分娩新生兒重,陰道分娩孕婦新生兒宮內窘迫、吸入性肺炎及新生兒窒息髮生率均較剖宮產孕婦分娩新生兒高,上述差異均有統計學意義[(3308±346)g vs (3194±373)g,t =2.03,P <0.05；36.7% vs 18.1%,χ2=8.46,P <0.05；32.6% vs 17.6%,χ2=5.52,P <0.01；30.6% vs 15.6%,χ2=6.22,P <0.01]。結論足月妊娠閤併羊水過少孕婦,分娩期陰道分娩的風險高于羊水正常孕婦。對羊水過少孕婦應加彊圍生期保健,定期做好產前檢查,以改善圍生兒結跼。
목적：탐토족월임신합병양수과소대분면기잉부급위생인적영향。방법선택2013년1월지2014년12월재제삼군의대학제일부속의원학진위족월임신합병양수과소적287례잉부위연구대상,병납입양수과소조。수궤추취동기재해원분면적300례족월임신차양수량정상잉부납입대조조。통계학비교량조잉부태인기형、과기임신、태인생장수한(FGR)급임신기고혈압질병발생솔화부궁산솔차이,분별비교량조잉부재불동분면방식하,기위생인결국차이。결과①양수과소조태인기형、과기임신、FGR 급임신기고혈압질병발생솔화부궁산솔균교양수정상조고,차차이균유통계학의의(1.7% vs 0.3%,χ2=2.83, P <0.01；13.2% vs 3.0%,χ2=20.88,P <0.05；3.8% vs 0.6%,χ2=6.70,P <0.01；7.0% vs 1.6%,χ2=10.11,P <0.05；82.9% vs 30.7%,χ2=162.76,P <0.01)。②양수과소조중,음도분면잉부적신생인평균체질량교부궁산잉부분면신생인중,음도분면잉부신생인궁내군박、흡입성폐염급신생인질식발생솔균교부궁산잉부분면신생인고,상술차이균유통계학의의[(3308±346)g vs (3194±373)g,t =2.03,P <0.05；36.7% vs 18.1%,χ2=8.46,P <0.05；32.6% vs 17.6%,χ2=5.52,P <0.01；30.6% vs 15.6%,χ2=6.22,P <0.01]。결론족월임신합병양수과소잉부,분면기음도분면적풍험고우양수정상잉부。대양수과소잉부응가강위생기보건,정기주호산전검사,이개선위생인결국。
Objective To explore the impact of oligohydramnios on delivery outcomes of full-term pregnant women and perineonates.Methods A total of 287 cases of full-term pregnant women with oligohydramnios (oligohydramnios group ) in the First Affiliated Hospital of Third Military Medical University from January 2013 to December 2014 were selected as study objects,and a total of 300 cases of normal full-term pregnant women in the same period were randomly selected and bringing into control group.The differences of incidence rate of fetal anomaly,prolonged pregnancy,fetal growth restriction (FGR),hypertensive disorders in pregnancy and the cesarean section between two groups,and perineonate outcomes between two delivery ways in each group were compared statistically.Results ① The incidence rate of fetal anomaly,prolonged pregnancy,FGR and hypertensive disorders in pregnancy,and the cesarean section rate in oligohydramnios group were all higher than those of control group,and the differences were statistically significant(1.7% vs 0.3%,χ2 =2.83,P <0.01;13.2% vs 3.0%,χ2 =20.88,P <0.05;3.8% vs 0.6%,χ2 =6.70,P < 0.01;7.0% vs 1.6%,χ2 = 10.1 1,P < 0.05;82.9% vs 30.7%,χ2 = 1 62.76,P <0.01).② In oligohydramnios group,the average weight of newborns,incidence rate of fetal distress, aspiration pneumonitis of newborns and neonatal asphyxia were all higher in pregnancy with vaginal delivery than those in pregnancy with cesarean section delivery,and the differences were statistically significant [(3 308±346)g vs (3 1 94±373)g,t=2.03,P <0.05;36.7% vs 18.1%,χ2 =8.46,P <0.05;32.6% vs 1 7. 6 % ,χ2 = 5 .5 2 ,P <0.01;30.6% vs 1 5.6%,χ2 =6.22,P <0.01].Conclusions For full-term pregnancy with oligohydramnios patients,the risk of vaginal delivery is higher than normal amniotic fluid patients.So,strengthen prenatal care and regular prenatal examination may be good to improve delivery outcome.
