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目的:探讨羊水指数对足月引产妊娠结局的影响。方法:采用回顾性分析方法,对2012年1~6月在广州市妇女儿童医疗中心因羊水过少住院、胎膜完整、宫颈评分>6分的196例患者分为研究组和对照组各98例,研究组羊水指数<5cm,对照组羊水指数5~8 cm。两组患者行人工破膜计划分娩,比较两组胎儿窘迫发生率、剖宫产率、阴道助产率、无痛分娩率、Apgar评分<7分(1 min和5 min)、NICU转入率。结果:研究组患者胎儿窘迫率、剖宫产率、Apgar评分1 min<7分的比例要高于对照组,两组比较差异有统计学意义(P<0.05),而研究组和对照组在阴道助产率、无痛分娩率、Apgar评分5 min<7分的比例、NICU转入率比较差异无统计学(P>0.05)。结论:足月羊水过少引产会增加因胎儿窘迫而引起的剖宫产。
Objective: To investigate the effect of amniotic fluid index on the outcome of pregnancy induced by term. Methods: A retrospective analysis was performed on 196 women with in-hospital amniotic fluid, complete fetal membranes and cervical score> 6 in Guangzhou Women and Children’s Medical Center from January to June 2012. The patients were divided into study group 98 and control group 98 Cases, the research group amniotic fluid index <5cm, the control group amniotic fluid index 5 ~ 8cm. The two groups of patients underwent artificial rupture of membranes planned delivery. The incidence of fetal distress, cesarean section rate, vaginal delivery rate, painless delivery rate, Apgar score <7 (1 min and 5 min), NICU transfer rate . Results: Fetal distress rate, cesarean section rate and Apgar score of 1 min <7 were higher in the study group than in the control group, with significant difference between the two groups (P <0.05) Vaginal obstetric rate, painless delivery rate, Apgar score 5 min <7 points, no significant difference in NICU rate (P> 0.05). Conclusions: Insufficient term amniotic fluid induction of labor increases cesarean section due to fetal distress.