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目的探讨临界性羊水过少静脉补液治疗的临床价值。方法对2008年8月至2009年8月在茂名市妇幼保健院妇产科以妊娠晚期、临界性羊水过少为诊断的病例,在5.0cm<羊水指数(AFI)≤8.0cm且除外妊娠并发症与合并症的59例中选取病例进行观察。静脉补液治疗组(研究组)选取入院后无应激试验(NST)有反应型、补液前后均有超声检查记录;随机选取同时期未补液治疗,NST有反应型、入院后有两次超声检查的痛例为对照组。观察最大羊水池深度(AFD)及AFI并进行比较分析。结果出境符合条件的研究组16例。对照组15例。两组产妇的平均孕周,产妇年龄,治疗前的羊水量以及两次检查间隔的天数均无统计学意义。经过静脉补液治疗后,AFD和AFI分别为(3.6±1.2)cm,(7.9±1.6)cm,均显著高于治疗前分别为[(2.8±0.8)cm,(5.8±1.6)cm](P均<0.05);但是与对照组比较差异无统计学意义,P>0.05。对照组的前后两次超声检查结果也出现了显著的差别:AFD由(2.7±1.2)cm显著升高至(3.7±0.7)cm,AFI由(6.4±1.6)cm显著升高至(8.2±2.3)cm。P均<0.05。结论在临界性羊水过少的病例中,传统的静脉补液活疗是否值得应用有必要重新认识,在多数胎心监护正常的病例中是没有必要的。对于羊水过少的诊断有必要动态观察,不能仅以1次检查的临界性羊水过少作为剖宫产指征。
Objective To investigate the clinical value of treatment of critical oligohydramnios intravenous rehydration. Methods From August 2008 to August 2009, Maternal and Child Health Hospital of Maoming Maternal and Child Health Hospital in the third trimester of pregnancy, the critical diagnosis of oligohydramnios cases, 5.0cm 0.05. There were also significant differences between the two groups before and after ultrasound examination in the control group: the AFD increased significantly from (2.7 ± 1.2) cm to (3.7 ± 0.7) cm, and the AFI increased from (6.4 ± 1.6) cm to (8.2 ± 2.3) cm. P <0.05. Conclusion In the case of borderline oligohydramnios, it is necessary to re-understand the traditional application of intravenous rehydration therapy. It is not necessary in most cases of normal fetal heart rate monitoring. For the diagnosis of oligohydramnios need dynamic observation, not only to check the critical amount of oligohydramnios as cesarean indications.