三胎及双胎妊娠结局对照分析.docVIP

三胎及双胎妊娠结局对照分析 　　【摘要】 目的 探讨三胎妊娠及双胎妊娠的临床特点及母婴妊娠结局。方法 回顾性分析于本院终止妊娠的201例双胎妊娠和78例三胎妊娠的临床资料， 将三胎妊娠作为研究组， 双胎妊娠作为对照组， 分析两组间年龄、孕产次、受孕方式及分娩方式、新生儿结局及妊娠期并发症。结果 ①研究组促排卵率、产次明显高于对照组， 差异有统计学意义（P0.05）。②研究组妊娠期肝内胆汁淤积综合征（ICP）和产后出血的发生率高于对照组， 差异有统计学意义（P0.05）。③研究组新生儿平均出生体重明显低于对照组， 差异有统计学意义（P0.05）。结论 双胎妊娠及三胎妊娠各有临床特点， 三胎妊娠有更差的新生儿妊娠结局， 均需要进一步的研究。 　　【关键词】 双胎妊娠；三胎妊娠；妊娠结局；多胎妊娠 　　【Abstract】 Objective To investigate the clinical characteristics and pregnancy outcomes of gemellary pregnancy and triplet pregnancy. Methods The clinical data of 201 pregnancy termination cases of gemellary pregnancy and 78 cases of triplet pregnancy were retrospectively analyzed. The triplet pregnancy cases were taken as the research group and the gemellary pregnancy cases as the control group. The differences of age， gravidity and parity， fertilization ways， delivery ways， neonatal outcome， and pregnancy complications between the two groups were all analyzed. Results ① The parity and incidence of ovulation in research group were higher than those of the control group， and the differences had statistical significance （P0.05）. ② The incidences of intrahepatic cholestasis of pregnancy （ICP） and postpartum hemorrhage of the research group were higher than those of the control group， and the differences were statistically significant （P0.05）. ③ The average birth weight of newborn in the research group was obviously lower than that in the control group， and the difference had statistical significance （P0.05）. Conclusion Gemellary pregnancy and triplet pregnancy have varied clinical characteristics， and triplet pregnancy is needed to be further researched due to its poor neonatal outcome. 　　【Key words】 Gemellary pregnancy； Triplet pregnancy； Pregnancy outcome； Multiple pregnancy 　　双胎妊娠和三胎妊娠均为多胎妊娠， 大多数文献均将其一并研究， 两者均有较差的新生儿妊娠结局。但三胎妊娠和双胎妊娠都有其临床特点， 并且三胎妊娠有更差的新生儿妊娠结局， 报告如下。 　　1 资料与方法 　　1. 1 一般资料 收集2011年9月～2013年10月于本院终止妊娠的双胎妊娠201例和2009年9月～2013年9月于本院终止妊娠的三胎妊娠78例的临床资料。分为研究组和对照组， 三胎妊娠78例为研究组， 双胎妊娠201例为对照组。研究组：年龄25～35岁， 孕次