双胎选择性胎儿生长受限的妊娠结局分析

目的 分析双胎选择性宫内生长受限的妊娠结局.方法 回顾性分析活产分娩的双胎妊娠127例临床资料,以双胎胎儿体重差≥25％为诊断标准,分为研究组及对照组比较两组间孕妇一般情况、妊娠期并发症、新生儿出生体重、新生儿窒息率、围产儿死亡率及入住NICU情况等方面的差异.结果 研究组妊娠期高血压疾病的发生率为26.1％,高于对照组的7.69％ （P＜0.05）.研究组剖宫产分娩18例,占78.3％;对照组剖宫产分娩90例,占对照组总数的86.5％,两组比较差异无统计学意义（P＞0.05）.研究组分娩胎儿46例,其中小于胎龄儿21例,占46.5％;新生儿平均出生体重、新生儿窒息率、围产儿死亡率、新生儿入住NICU比率明显高于对照组,差异有统计学意义（P＜0.05）.结论 选择性宫内生长受限双胎的围生儿患病率和死亡率明显高于发育一致性双胎,及早发现和处理选择性宫内生长受限双胎,是改善胎儿和新生儿预后的关键.

Perinatal Outcom of Twin with Selective Intrauterine Growth Restriction

Objective To analyze the perinatal outcomes of twin with selective intrauterine growth restric- tion （sIUGR）. Methods A retrospective study was carried out on 127 cases of twin babies delivered and the cases were divided groups： study group and control group. Twin pairs whose birth weight difference was 25 % or more were designated as sIUGR twins. To compare the difference between of the pairs about：Pregnant women in general, pregnancy complications, neonatal birth weight, perinatal mortality, neonatal asphyxia rate and occu- pancy rate of NICU. Results Gestational hypertension disease incidence was 26.1% in study group which was higher than that（7.69 % ）in control group, （P 〈 0.05）. Cesarean section delivery was 18 cases and 90cases in study group and control group, accounted 78.3 % and 86.5 %, there was no significant difference in the two groups（P 〉 0.05）. There were 21 cases less than gestational age in study group（46.5 % ）. Neonatal average birth weight, neonatal asphyxia rate, perinatal mortality rate, neonatal occupancy rate in NICU was obviously higher in study group than that in the control group, and there was significant difference（P 〈 0.05）. Conclusion Twins with sIUGR pregnancy of perinatal morbidity and mortality rates are significantly higher than developmental consistency twin. Early detection and treatment of twins with sIUGR, is to improve fetal and neonatal prognosis.