妊娠晚期临界性羊水过少静脉补液治疗临床价值探讨

发布时间：2018-04-02 01:34

本文选题：妊娠晚期　切入点：临界性羊水过少　出处：《实用妇科内分泌杂志(电子版)》2016年16期

【摘要】：目的探讨妊娠晚期临界性羊水过少静脉补液治疗的临床价值。方法选择我院收治的妊娠晚期临界羊水过少孕妇90例,按照随机的方法将两组孕妇分为对照组和观察组,每组各45例,观察组孕妇予以静脉补液治疗,对照组孕妇仅行动态观察,对比两组的妊娠结局。结果观察组与对照组孕妇的羊水指数及羊水深度均有所增加,差异无统计学意义(P0.05);两组宫内窘迫、新生儿窒息和羊水污染的的发生率,差异无统计学意义(P0.05)。结论在胎心监测正常的情况下,妊娠晚期临界性羊水过少的情况下进行补液治疗无明显临床意义,应根据羊水过少原因进行明确诊断并做好监测,以改善围生儿的预后。
[Abstract]:Objective to evaluate the clinical value of critical amniotic fluid oligohydramnios in late pregnancy.Methods 90 pregnant women with critical amniotic fluid oligohydramnios in late pregnancy were randomly divided into control group and observation group with 45 cases in each group. The pregnant women in the observation group were treated with intravenous rehydration.The pregnant women in the control group were observed dynamically and the pregnancy outcome was compared between the two groups.Results the amniotic fluid index and amniotic fluid depth in the observation group and the control group were increased with no significant difference (P 0.05), while the incidence of intrauterine distress, neonatal asphyxia and amniotic fluid contamination in the two groups were not significantly different.Conclusion under the normal condition of fetal heart monitoring, rehydration therapy in the case of critical amniotic fluid oligohydramnios in the third trimester of pregnancy has no obvious clinical significance. The diagnosis and monitoring should be made according to the causes of oligohydramnios in order to improve the prognosis of perinatal infants.
【作者单位】：江西省东乡县人民医院妇产科;
【分类号】：R714.2

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