双胎伴胎膜早破36例临床分析

目的探讨双胎伴胎膜早破的临床特点和妊娠结局.方法回顾性分析双胎伴胎膜早破36例(研究组)及同期单胎伴胎膜早破61例(对照组),从胎膜早破的发生率、期待疗法的情况、新生儿预后等情况进行探讨.结果双胎妊娠时胎膜早破的发生率为31.5%,单胎妊娠的胎膜早破发生率为11.7%(P＜0.05);双胎妊娠伴胎膜早破时早产发生率为75.0%,单胎妊娠伴胎膜早破时早产的发生率为11.5%(P＜0.001),双胎妊娠伴胎膜早破时新生儿窒息、羊水粪染、新生儿硬肿症等的发生率均高于单胎妊娠伴胎膜早破(P＜0.001).结论双胎妊娠容易发生胎膜早破、早产、新生儿窒息等,双胎妊娠伴胎膜早破时期待疗法意义不大,双胎妊娠时应尽量避免胎膜早破的发生.

Clinical Analysis on the Characteristics of 36 twin Pregnancies Complicated Premature Rupture of Membrances

Objectives:To study the clinical characteristics and outcome of twin pregnancy accompanied premature rupture of membranes.Methods:The clinical information of 36 twin pregnancies accompanied premature rupture of membranes was compared with 61 singleton pregnancies as contrals at the same time by retrospective analysis.Data were collected in rate of premature rupture of membranes,expectant therapy and prognosis of newborn.Results:The rate of preterm premature rupture of membrances and preterm labor was 31.5% and 75.0% respectively in twin pregnancy,but 11.7% and 11.5% respectively in singleton gestation( P <0 001).The rate of newborn asphyxia,meconium and sclerema neonatorun of twin pregnancy were higer than that of singleton pregnancy( P <0 001).Conclusions:Expectant therapy should be adopted in order to reduce the incidence of preterm premature rupture of membranes,preterm labor and newborn asphyxia in twin pregnancy.