摘要
目的研究未足月胎膜早破（PPROM）剩余羊水量与妊娠结局的关系。方法选取2010年1月～2015年4月住院分娩的PPROM孕妇322例，根据胎膜破裂后羊水指数（AFI）分为三组：羊水量正常组（8cm〈AFI〈25cm）244例，羊水量偏少组（5cm〈AFI≤8cm）60例，羊水量过少组（AFI≤5cm）18例。对三组间羊水指数与孕妇新生儿结局作统计学分析。结果三组孕妇随着羊水指数的降低，期待期延长至48h以上的机率下降，羊膜腔感染及剖宫产率均明显上升；胎儿宫内窘迫、新生儿窒息、黄疸发生率也显著上升，差异有统计学意义（P〈0．05）。结论PPROM孕妇剩余羊水量过少时，羊膜腔感染和围产儿窒息率明显增加，剩余羊水量可以作为预测妊娠结局的一项指标。
Objective To study the relationship between the amniotic fluid volume after preterm premature rupture of membranes（PPROM） and maternal-fetal outcome. Methods A total of 322 pregnant women with PPROM gestational weeks were studied, hospitalized from Jan 2010 to Apr 2015. According to Amniotic fluid index （AF1） by ultrasound, patients were devided into three groups：normal amniotic fluid （8 cm〈AFI〈18 cm）, 244 cases; borderline oligohydram- nios（5 cm〈AFI≤8 cm）, 60 cases; oligohydramnios （AFI≤5 cm）, 18 cases. The correlation of AFI and maternal- neonatal outcomes in three groups was analyzed. Results Following the decrease of AFI, the rate of latency over 48 h was lower,yet the rates of cesarean section,intra-amniotic infection, fetal distress, neonatal asphyxia,jaundice were higher. The differences were statistically significant（P〈0.05）. Conclusion Oligohydramnios after PPROM is associated with the increasing risks of intra-amniotic infection and perinatal asphyxia.So the amniotie fluid volume might be an important prognostic indicator to assess the outcomes of maternal and neonatal when PPROM happened.
出处
《中国现代医生》
2015年第23期53-55,共3页
China Modern Doctor
关键词
未足月胎膜早破
羊水过少
羊水指数
妊娠结局
Premature fetal membranes rupture
Oligohydramnios
Amniotic fluid index
Pregnancy outcome
