双胎妊娠161例临床分析

目的　了解双胎妊娠并发症的预防及治疗。方法　对 5年间 16 1例双胎妊娠及同期 9182例单胎妊娠临床资料作对比分析。结果　双胎妊娠组的胎膜早破、早产、新生儿窒息、剖宫产率分别为 2 9.2 % ( 4 7/16 1)、42 .2 % ( 6 8/16 1)、2 4.8% ( 4 0 /16 1)、70 .2 % ( 113/16 1) ,明显高于同期单胎妊娠组 ,分别为 13.2 % ( 12 12 /9182 )、5 .8% ( 5 33/9182 )、8.3% ( 76 2 /9182 )、2 7.3% ( 2 5 0 6 /9182 )。两组并发症比较 ,P均 <0 .0 0 5 ,差异有高度显著性。结论　做好围生期的保健工作 ,是减少双胎并发症和降低围生儿死亡率的关键。

Clinical analysis of 161 twin pregnancies

Objective investigate the prevention and treatment of the twin pregnancy complication. Methods Clinical records from 161 twin pregnancies and 9182 monocyesises at the same period within 5 years were comparatively analyzed. Results In twin pregnancy group, the complication rates of premature rupture of fetal membranes, premature labor, asphyxia neonatorum and cesarean were 29.2% (47/161), 42.2% (68/161), 24.8% (40/161) and 70.2% (113/161), respectively; and in monocyesis group, they were 13.2% (1212/9182), 5.8% (533/9182), 8.3% (762/9182) and 27.3% (2506/9182). The complication rates in twin pregnancy group were significantly higher than those in monocyesis group, P<0.005. Conclusions The key to reduce twin pregnancy complication and lower mortality rate was to take good care of the health of the pregnancies in perinatal period.