羊水过少时的口服补液疗法。
Oral hydration therapy in oligohydramnios.
作者信息
Ghafarnejad Marzieh, Tehrani Mehrnaz Barzi, Anaraki Fatemeh Baradaran, Mood Narges Izadi, Nasehi Leyla
机构信息
Department of Gynecology and Obstetrics, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
J Obstet Gynaecol Res. 2009 Oct;35(5):895-900. doi: 10.1111/j.1447-0756.2009.01043.x.
AIM
Oligohydramnios is a threatening condition to fetal health, for which some treatments are available, or are under evaluation. We aimed to assess the effect of acute oral hydration on maternal amniotic fluid index (AFI).
METHODS
An randomized controlled trial was conducted on 44 pregnant women diagnosed by sonography to have oligohydramnios (2.1 < AFI < 6 cm).
RESULTS
The mean AFI before intervention was 50.8 in the intervention group and 52.1 in the control group. After intervention, the mean AFI was 67.2 and 52.5 in the intervention and control groups, respectively, (P < 0.001, t-test = 3.827). The mean urinary specific gravity (USG) change was 13.4 after oral hydration in the intervention group and 1.68 in the control group (P < 0.001, t-test = 3.954).
CONCLUSION
Acute oral hydration is a noninvasive, easily accessible and cheap intervention, and an effective way of increasing AFI.
目的
羊水过少对胎儿健康构成威胁，针对此有一些治疗方法可供使用或正在评估中。我们旨在评估急性口服补液对母体羊水指数（AFI）的影响。
方法
对44名经超声诊断为羊水过少（2.1＜AFI＜6 cm）的孕妇进行了一项随机对照试验。
结果
干预前，干预组的平均AFI为50.8，对照组为52.1。干预后，干预组和对照组的平均AFI分别为67.2和52.5（P＜0.001，t检验=3.827）。干预组口服补液后尿比重（USG）平均变化为13.4，对照组为1.68（P＜0.001，t检验=3.954）。
结论
急性口服补液是一种无创、易于实施且廉价的干预措施，是增加AFI的有效方法。
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