27例双胎妊娠临床分析.docVIP

27例双胎妊娠的临床分析 　　【摘要】目的 研究双胎妊娠的并发症情况并探讨其防治。方法 选取2008年9月~2010年5月在我院分娩的双胎妊娠27例（研究组）及同期在我院分娩的单胎妊娠27例（对照组）。对两组孕晚期和分娩期并发症，两组围产儿并发症实行回顾性分析对比。结果 研究组孕产妇孕晚期及分娩期并发症（子痫前期，贫血，胎膜早破，羊水过多，早产，剖宫产，产后出血）都显著高于对照组，差异有显著统计学意义（p0.05）。研究组围产儿并发症（早产儿，足月低出生体重儿，新生儿窒息，转儿科治疗，围产儿死亡）都显著高于对照组，差异有显著统计学意义（p0.05）。结论 双胎妊娠的并发症多且危险性高，积极防治并发症对改善双胎妊娠母婴预后及提高出生人口质量有重要意义。 　　【关键词】双胎妊娠 并发症 临床分析 　　中图分类号：R714.23文献标识码：A文章编号：1005-0515（2011）1-018-02 　　27 cases clinical analysis of twin pregnancy 　　HUANG Qiong 　　（Nanchong City, Sichuan Province Peoples Hospital 637100 Gaoping） 　　【Abstract】Objective To study the complications of twin pregnancy and to investigate its prevention. Methods September 2008 ~ May 2010 birth in our hospital 27 cases of twin pregnancies (study group) and the same birth in our hospital 27 patients with singleton pregnancies (control group). Two groups of late pregnancy and delivery complications, perinatal complications in the implementation of the two groups were retrospectively analyzed and compared. Results The study group of pregnant women in late pregnancy and delivery complications (preeclampsia, anemia, premature rupture of membranes, polyhydramnios, premature labor, cesarean section, postpartum hemorrhage) were significantly higher, the difference was statistically significant significance (p 0.05). Perinatal complications, study groups (preterm children, full-term children with low birth weight, neonatal asphyxia, turn pediatric, perinatal death) were significantly higher, the difference was statistically significant (p 0.05). Conclusion: Twin pregnancy complications and high risk, and actively prevent complications of twin pregnancy to improve maternal and child outcomes and improve the quality of birth population is important. 　　 　　一次妊娠宫腔内有两个或两个以上的胎儿称多胎妊娠，最常见为双胎妊娠。近年来，随着促排卵药物应用的增多，双胎妊娠发生率有上升趋势。由于双胎妊娠在妊娠期和分娩期并发症多，围生儿死亡率亦高，故属高危妊娠范畴。笔者对2008年9月~2010年5月在我院分娩的双胎妊娠87例进行回顾性分析，以研究双胎妊娠与母婴并发症的关系，现报道如下： 　　1 资料与方法 　　1.1 对象2008年9月~2010年5月，在我院分娩的双胎妊娠27例为研究组，孕妇平均年龄26.39加减1.47岁，孕次2.0加减1.1，