39例双胎胎膜早破临床分析

Clinical Anlysis of 39 twin pregnancg accompanied premature rupture of membranes

目的:探讨双胎胎膜早破的临床特点和妊娠结局。方法:分析双胎胎膜早破39例(研究组)及同期单胎胎膜早破66例(对照组),从胎膜早破的发生率、期待疗法的情况、新生儿预后等情况进行探讨。结果:双胎妊娠时胎膜早破早产的发生率均高于单胎妊娠胎膜早破时早产的发生率;双胎妊娠胎膜早破时新生儿窒息、羊水粪染、新生儿低体重发生率均高于单胎胎膜早破(P<0.005)。结论:双胎妊娠容易发生胎膜早破、早产、新生儿窒息等。双胎妊娠时应尽量避免胎膜早破的发生。

Objective To study the clinical characteristics and outcome of twin pregnancy accompanied premature rupture of membranes. Methods The clinical information of 39 twin pregnancg accompanied premature rupture of membranes was compared with 66 singleton pregnancg as controls at the same time by retrospective analysis. To explore the rate of premature rupture of membranes, expectant therapy and prognosis of newborn. Results The rate of newborn asphyxia, meconium of twin pregnancy were higher than those of singleton pregnancy （P〈0.005）. Conclusion Expectant therapy should be adopted in order to reduce the incidence of preterm prema- ture rupture of membranes, preterm labor and newborn asphyxia in twin pregnancy.