探讨双胎妊娠合并重度子痫前期的妊娠结局分析及护理体会.docVIP

精品论文 参考文献 探讨双胎妊娠合并重度子痫前期的妊娠结局分析及护理体会 1.黑龙江省齐齐哈尔市第二医院 161000；武警齐齐哈尔市支队后勤部卫生队 161000 【摘 要】目的：对比研究双胎妊娠合并重度子痫前期与单胎重度子痫前期的妊娠结局及护理方法。方法：此次研究的对象是选择2006年3月-2011年12月60例双胎妊娠合并重度子痫前期的孕妇资料（观察组）与60例单胎妊娠合并重度子痫前期孕妇资料（对照组）。将其临床资料进行回顾性分析，并比较两组孕妇的发病周数、分娩方式、终止妊娠时间、妊娠合并症发生率及围生儿结局等情况。结果：观察组与对照组的发病周数分别为（28.12plusmn;2.28）周、（33.23plusmn;2.17）周；终止妊娠周数为（34.13plusmn;2.36）周、（36.58plusmn;2.46）周；胎盘早剥发生率为6.7%、1.7%；剖宫产率为81.7%、68.3%；产后出血率为18.3%、11.7%；妊娠期脂肪肝发生率3.3%、1.7%；早产率为75.0%、53.3%；围生儿死亡率35.0%、5.0%，两组间比较差异均具有显著统计学意义（Plt;0.01）。结论：双胎妊娠合并重度子痫前期孕产妇及围生儿不良结局较单胎明显，临床上应予以重视并加强护理工作。 【关键词】 双胎妊娠；重度子痫前期；孕产妇并发症；护理策略 [Abstract]Objective：To compare the pregnancy outcomes and nursing methods of twin pregnancy complicated with severe preeclampsia and severe preeclampsia.Methods：the object of this study is with severe preeclampsia in March 2006 -2011 year in December 60 cases of twin pregnancy pregnant women（observation group）and 60 cases of singleton pregnancy complicated with severe preeclampsia pregnant women（control group）.The clinical data were retrospectively analyzed，and the number of weeks，delivery mode，termination of pregnancy，incidence of pregnancy complications and perinatal outcome were compared between the two groups.Results：the observation group and the control group the incidence weeks respectively（28.12 + 2.28），（33.23 + 2.17）weeks；termination of pregnancy weeks（34.13 + 2.36），（36.58 + 2.46）weeks；the incidence of placental abruption was 6.7% and 1.7%；the rate of cesarean section was 81.7% and 68.3%；the rate of postpartum hemorrhage was 18.3% and 11.7% of pregnancy；the incidence of fatty liver was 3.3% and 1.7%；the preterm birth rate was 75% and 53.3%；the perinatal mortality rate 35%，5%，two，the difference was statistically significant（Plt;0.01）.Conclusion：the adverse outcomes of pregnant women with severe preeclampsia and perinatal infants with severe preeclampsia were significantly more than that of singleton，which should be paid more attention to and strengthen the nursing work. [Key words]twin