多胎妊娠发生原因及母体并发症处理分析.docVIP

多胎妊娠发生原因及母体并发症处理分析 　　[摘要] 目的 探讨多胎妊娠发生的原因以及母体并发症的临床处理措施。 方法 选择2009年6月～2014年6月本院收治的750例多胎妊娠妇女作为观察组，选取同期住院的750例单胎妊娠产妇作为对照组，分析其多胎妊娠的发生率、发生原因，并比较两组的并发症发生率。 结果 多胎妊娠发生率为2.10%；年龄30岁的经产妇多胎妊娠率高于30岁的初产妇；31.07%的多胎妊娠妇女服用过促排卵药物。另外，多胎妊娠者胎膜早破、羊水过多等并发症发生率明显高于单胎妊娠者，差异有统计学意义（P0.05）。 结论 多胎妊娠的发生与孕妇年龄、产次和促排卵药物有关，且多胎妊娠易出现各种母体并发症，需加强监护管理，并积极对症治疗，才能改善预后，降低围生儿死亡率。 　　[关键词] 多胎妊娠；母体并发症；促排卵药物；处理措施 　　[中图分类号] R714.23 [文献标识码] A [文章编号] 1674-4721（2015）07（b）-0057-03 　　[Abstract] Objective To explore the causes of multiple pregnancy and treatment measures of maternal complications in clinic. Methods 750 multiple-pregnancy women admitted into our hospital from June 2009 to June 2014 were analyzed as observation group.750 single pregnancy women admitted into our hospital in the same term were analyzed as control group.The incidence and occurrence reason of multiple pregnancy was analyzed，and maternal complications were compared. Results The incidence of multiple-pregnancy was 2.10%.The rate of multiple-pregnancy in multiparae aged over 30 years old was higher than that in pregnant women，who were less than 30 years old. 31.07% multiple-pregnancy women took the drug for ovulation induction.Besides，the incidences of premature rupture of membranes and polyhydramnios in multiple-pregnancy women were significantly higher than those in the single pregnancy women， the difference was significant（P0.05）. Conclusion Occurrence of multiple pregnancy is related with maternal age，parity and ovulation induction medicine.Due to frequent occurrence of maternal complications in multiple pregnancy，monitoring and management should be strengthened and symptomatic treatment should be actively implemented aiming at improving prognosis and reducing perinatal mortality. 　　[Key words] Multiple pregnancy；Maternal complication；Ovulation induction drug；Treatme 　　多胎妊娠是指一次妊娠子宫腔内同时有两个或更多胎儿，多与年龄、遗传因素有关，也可能是药物作用所致。多胎妊娠孕妇在孕期和分娩期易出现贫血、羊水过多、胎盘早剥等并发症，不但对母体不利，还会威胁到胎儿生命安全[1-2]。因此，产前必须做好并发症预防工作，将并发症发生率降至最低，从而实现安全顺利分娩。本研究对收治750例多胎妊娠产妇的临床资