多胎妊娠治疗164例临床分析

目的通过回顾性分析2008年多胎妊娠的治疗及结局,探讨改善多胎妊娠的产妇及围生儿的预后。方法调查分析164例多胎妊娠及5568例同期单胎妊娠的临床并发症及围生儿结局。结果多胎妊娠的产妇产科并发症及围生儿死亡率患病率都明显增高,多胎妊娠预后低于单胎。经阴道分娩的多胎妊娠的新生儿窒息率及死亡率明显高于单胎及同组剖宫产组,尤其是阴道助产者新生儿窒息率最高。结论加强围产期保健,适当减胎,至32周后促胎肺成熟,放宽剖宫产指征,利于改善多胎妊娠的围生儿状况及预后。

Analysis of obstetrics clinic of multiple gestation.

Objective： To explore the measures of improving the prognosis of status in perinatal period and the pregnant woman of the multiple gestation by analyzing the multiple pregnancy in 2008. Methods ： To investingate the clinic complication and the prognosis of status in perinatal period of the multiple pregnancies 164 and the single prengnancies 5568 in 2008. Results： The complication of the pregnant woman of the muhiplepregnancy group was higher than single pregnancy group, and the also the percent of adversity and mortality of status in perinatal period ; at the same time, the percent of neonatal asphyxia andmortality of status by rag - inal delivery were significantly higher than the cesarean section, also higher than the single group; especially, those with vaginal assistance. Conclusion ： Making some measures to improve the of health protection ofthe pregnant woman, perfectly widening the indication of the cesarean section over 32 weeks of gestation on basis of promoting lung maturity of being useful and to improve prognosis of the status in perinatal period and pregnant women of the multiple pregnancy.