双胎或三胎选择性减胎术术后妊娠结局及护理体会

Pregnancy Outcome and Nursing Experience After Selective Fetal Reduction Surgery of Twins or Triples

目的探讨双胎或三胎选择性减胎术术后妊娠结局及护理体会。方法回顾性分析2020年3月至2020年7月在我院产科治疗的14例双绒双羊妊娠患者的临床资料,均在孕中期行双胎氯化钾减胎术,均在围术期配合综合护理干预,分析妊娠结局。结果14例孕妇均顺利实施手术,术后无病例发生流产;均随访至产后,行剖宫产分娩,早产5例,早产率为35.71%,胎儿均成活,出生体重1100~3600g,平均(2650±720)g;孕妇发生妊娠期高血糖2例、妊娠期高血压病1例、前置胎盘1例。结论双胎或三胎选择性减胎术是一种安全、简单、有效的补救方式,辅以围术期综合护理干预,能提高孕妇的心理适应性,提升医护人员的密切协作,改善妊娠结局。

Objective To explore pregnancy outcome and nursing experience after selective fetal reduction surgery of twins or triples.Methods The paper reviewed and analyzed clinical data of 14 pregnant patients with double-fleece twins treated in obstetric department of our hospital from March 2020 to July 2020,who were treated with twin potassium chloride reduction surgery in second trimester,comprehensive nursing intervention in perioperative period.Pregnancy outcome was analyzed.Results All 14 pregnant women were successfully operated,with no miscarriage after operation.All were followed up to postpartum and delivered by cesarean section.5 cases were delivered prematurely,with premature delivery rate of 35.71%.All fetuses were alive,with birth weight of 1100~3600g,average of(2650±720)g;with 2 cases of hyperglycemia during pregnancy,1 case of hypertension during pregnancy and 1 case of placenta previa occurred.Conclusion Selective fetal reduction surgery for twins or triples is a safe,simple and effective remedy,which can improve psychological adaptability of pregnant women,enhance close collaboration of medical staff,and improve pregnancy outcome supplemented with perioperative comprehensive nursing intervention.