摘要
【目的】分析出生指标,评价双胎妊娠结局。【方法】采用1995年苏州地区围产保健监测资料,比较单、双胎孕周、出生体重、Apgar评分、新生儿死亡率及死亡原因。【结果】双胎妊娠中早产儿占35.0%;低出生体重儿占4 9.2%;1 min和5 min Apgar评分窒息者分别占1 3.9%和5.6%;各指标均显著高于单胎。双胎新生儿死亡率为45.9‰;早期新生儿死亡率42.8‰;新生儿主要死亡原因为早产。【结论】与单胎儿相比,双胎妊娠胎儿宫内发育时间、发育状况、产后适应能力等均明显偏差,新生儿死亡率显著偏高。应采用多种干预措施,改善双胎妊娠不良结局。
[Objective] To analyze the born-index, assess outcome of twin pregnancies. [Methods] Using perinatal data of the Suzhou area in 1995,the gestational age, birth weight, Apgar score, the causes of neonatal death were compared between twin and single pregnancies. [Results] The perinatal outcomes for twin pregnancies were many preterm infants （35.0%）, low birth weight （49.2%）, low Apgar score （〈7） in 1^st minute （13.9%） and low Apgar score （〈7） in 5^th minute （5.6%）. The neonatal mortality of twin pregnancies was 45.9‰, and the early neonatal mortality of twin pregnancies was 42.8‰. The major cause of neonatal death was premature deliveries in twins. [Conclusions] Compared with singles, twins grow worse in uterus, their growth times are shorter and their adaptive abilities are lower. The neonatal mortality of twin is higher than that of single births. Several actively measures should be taken to improve the perinatal health of twins.
出处
《中国儿童保健杂志》
CAS
2006年第6期549-551,共3页
Chinese Journal of Child Health Care
基金
国家自然科学基金项目"青春期发育调控机制影响因素的双生研究"(30371223)
关键词
双眙妊娠
妊娠结局
出生体重
窒息
新生儿死因
twin pregnancy
perinatal outcome
birth-weight
asphyxia
causes of neonatal death
