摘要
目的研究未足月胎儿胎膜早破后不同羊水指数对产妇及胎儿的影响。方法选取本院妇产科96例未足月胎儿胎膜早破产妇进行研究,根据羊水指数不同随机分为3组,Ⅰ组羊水指数正常,Ⅱ组偏少,Ⅲ组过少,均进行相同的抗感染、抑制宫缩等处理,分析各组产妇的妊娠结局。结果Ⅲ组产妇羊膜腔感染及产后子宫内膜炎发生率明显高于Ⅰ、Ⅱ组,新生儿窒息发生率及死亡率高于Ⅰ、Ⅱ组(P<0.05)。Ⅰ组的分娩方式多为自然分娩,Ⅲ组多为剖宫产,差异有统计学意义(P<0.05)。结论未足月胎儿胎膜破裂后,剩余羊水量可影响产妇及新生儿健康状况,并对分娩方式的选择产生一定影响,胎膜破裂时,应密切监测羊水指数的变化,指导治疗方法的选择。
Objective To study the influence of amniotic fluid index （AFI） in non-full term fetus with premature rup- ture of membrane in puerpera and fetus.Methods Ninety-six puerperae with premature rupture of membrane in non- full term fetus in our department of obstetrics and gynecology were selected and randomly divided into three groups ac- cording to different AFI.The AFI in group I was normal,while in group II ,the AFI was slightly less,and extremely less in group III after comparing with that in the group I .All groups were treated by anti-inflammation and inhibition of u- terine contraction,and the pregnancy outcomes in each group were analyzed.Results The incidence of infection of amni- otic cavity and postpartum endometritis in group m were much higher as well as neonatal asphyxia and mortality in comparison with those in the other two groups.The delivery mode in group I mainly was spontaneous labor,while in group HI ,the caesarean section took the majority with statistical difference （P〈0.05）.Conclusion After membrane ruptur- ing in non-full term fetus,the rest amniotic fluid volume can influence on the health conditions of puerpera and fetus as well as certain impact on the selection of delivery mode.Therefore,once fetal membrane is ruptured,the changes of AFI should be closely observed in order to guide the right choice for a therapeutic method.
出处
《中国当代医药》
2014年第9期53-55,共3页
China Modern Medicine
关键词
胎膜早破
羊水指数
妊娠结局
Premature rupture of membrane
Amniotic fluid index
Pregnancy outcome
