双胎妊娠绒毛膜性质对孕妇妊娠期并发症及围生儿预后影响.docVIP

双胎妊娠绒毛膜性质对孕妇妊娠期并发症及围生儿预后影响 　　[摘要] 目的 探讨双胎妊娠绒毛膜性质对孕妇妊娠期并发症及围生儿预后的影响。 方法 选取2009年1月～2014年1月延安市妇幼保健院产科收治的双胎妊娠产妇102例，根据绒毛膜性质将其分为单绒毛膜组（57例）和双绒毛膜组（45例），比较两组母体妊娠并发症及围生儿预后情况。 结果 单绒毛膜组围生儿的新生儿窒息率及围生儿病死率（25.44%、9.65%）均显著高于双绒毛膜组（7.78%、2.22），差异均有统计学意义（P 0.05）。单绒毛膜组妊娠高血压疾病、妊娠糖尿病、羊水过多、胎膜早破等妊娠期并发症的发生率（35.09%、19.30%、21.05%、24.56%）均明显高于双绒毛膜组（6.67%、4.99%、4.15%、5.79%），差异均有统计学意义（P 0.05或P 0.01）。 结论 在双胎妊娠早期对绒毛膜性质进行诊断，有利于临床工作人员对双胎妊娠并发症和围生儿预后进行有效及时的预防。 　　[关键词] 双胎妊娠绒毛膜性质；妊娠期并发症；围生儿预后 　　[中图分类号] R714.2 [文献标识码] A [文章编号] 1673-7210（2015）05（b）-0071-03 　　Effect of the twin pregnancy chorionic properties on the pregnancy complications of pregnant women and prognosis of neonate 　　LIU Li WU Lili 　　Department of Obstetrics and Gynecology， Maternity and Child Health Care of Yanan City， Shaanxi Province， Yanan 716000， China 　　[Abstract] Objective To explore effect of the twin pregnancy chorionic properties on the pregnancy complications of pregnant women and prognosis of neonate. Methods 102 cases of gemellary pregnancy from January 2012 to January 2014 in Department of Obstetrics， Maternity and Child Health Care of Yanan City were selected， they were divided into single chorion group （57 cases） and double chorion group （45 cases） according to the nature of chorionic. The pregnancy complications of pregnant women and prognosis of neonate of two groups were compared. Results The asphyxia rate of neonatal and mortality rate of perinatal infant of the single chorionic group （25.44%， 9.65%） were significantly higher than those of the double chorion group （7.78%， 2.22%）， the differences were statistically significant （P 0.05）； the incidence of complications during pregnancy such as gestational hypertension， gestational diabetes， hydramnios， premature rupture of membranes of the single chorionic group （35.09%， 19.30%， 21.05%， 24.56%） were significantly higher than those of the double chorion group （6.67%， 4.44%， 6.67%， 6.67%）， the differences were statistically significant （P 0.05 or P 0.01）. Conc