双胎妊娠合并重度子痫前期的妊娠结局分析及护理策略

目的：比较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策略。方法：收集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（观察组屿60例单胎妊娠合并重度子痫前期孕妇资料（对照组）。分析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（28．12±2．28凋、（33．23±2．17凋；终止妊娠周数为（34．13±2．36）周、（36．58±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（P〈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。

To Analysis Twin Pregnancy Outcome with Severe Preeclampsia and Nursing Strategy

Objective： To compare pregnancy outcomes and nursing strategy between twin and singleleton pregnancy complicated with severe preeclampsia.nethod： 60 cases of twin pregnancy and 60 cases of singleton with severe preeclampsia were collected from March 2006 to December 2012, respectively, divided into comparison group and control group. Perinatal outcomes and incidences of maternal complications of the two groups were compared and analyzed. Result： There was significant difference between the two groups in their onset gestational ages, terminating gestation＇ s time, and the ratio of placental abruption, cesarean section, postpartum hemorrhage, etc （P〈0.01） .Conclusion： It＇s serious complication in twin pregnancy with severe preeclampsia. So it＇ s very significant and necessary to strengthen the nursing work in twin pregnancy with severe preeclampsia.