论文部分内容阅读
目的:探讨饮水疗法治疗羊水过少的临床效果。方法:选择孕晚期羊水过少孕妇90例,随机分为两组,治疗组除日常饮食外,每日 24h内饮水≥4000mm,对照组行日常饮食。两组分别于治疗或观察前 1日、第 8日测定 AFI。此后治疗组仍坚持饮水疗法,两组均每2周动态监测AFI 1次,直至分娩。比较两组妊娠结局。结果:治疗组饮水7天后第8日 AFI和分娩前AFI均较饮水前明显增加,P<0.01;对照组观察前 1日,第 8日和分娩前AFI三组间比较,差异无显著性,P>0.05;治疗组与 对照组于第8日、分娩前AFI两组间比较,差异有显著性,均P<0.01。治疗组新生儿体重3150g,Apergar评分≤7分者1例,剖宫产9例,对照组分别为2750g,4例和21例。两组比较,差异有显著性,平均P<0.05。结论:饮水疗法治疗羊水过少简便有效,并能促进胎儿发育,减少新生儿窒息,降低剖宫产率。
Objective: To investigate the clinical effect of drinking water treatment for oligohydramnios. Methods: Ninety pregnant women with oligohydramnios in the second trimester of pregnancy were enrolled and randomly divided into two groups. In addition to the daily diet, the drinking water in the treatment group was ≥4000 mm per day, and the control group was given routine diet. AFI was measured on the first day and the eighth day before treatment or observation in both groups. After treatment group still adhere to drinking water therapy, two groups were dynamically monitored AFI every 2 weeks until delivery. Pregnancy outcomes were compared between the two groups. Results: The AFI of the eighth day and the pre-parturition AFI of the seventh day after treatment in the treatment group were significantly higher than those before drinking (P <0.01). There was no significant difference between the three groups before the first day, the eighth day and before delivery in the control group, P> 0.05; There was significant difference between the treatment group and the control group on the 8th day and AFI before delivery, both P <0.01. The treatment group neonatal weight 3150g, Apergar score ≤ 7 points in 1 case, 9 cases of cesarean section, control group were 2750g, 4 cases and 21 cases. The difference between the two groups was significant, with an average P <0.05. Conclusion: Drinking water treatment of oligohydramnios is simple and effective, and can promote fetal development, reduce neonatal asphyxia and reduce cesarean section rate.