双胎妊娠围产期结局分析

Analysis of Perinatal Outcome of Twin Pregnancy

目的:探讨双胎妊娠的临床特点及围产期结局。方法:回顾性分析2005年我院和丰满区妇幼保健院双胎妊娠共54例(研究组)及同期单胎77例(对照组),对两组病例的经产数、分娩方式、平均妊娠天数、早产、新生儿出生体重、是否贫血、妊高症发生率、产后出血量、新生儿窒息发生率、新生儿硬肿发生率进行对照分析。结果:经产妇较初产妇易产生双胎,双胎妊娠与单胎妊娠在分娩方式上没有统计学差异。双胎妊娠易发生早产(P<0.005),双胎平均出生体重低于单胎(P<0.05),双胎妊娠更易发生中度贫血(P<0.005)。双胎妊娠更易发生妊高症、胎膜早破、产后出血、新生儿窒息、新生儿硬肿(P<0.05)。两组在年龄方面无显著差异。

Objective：To investigate the clinical features of twin pregnancy and perinatal outcome.Methods：Retrospective analysis in 2005 in our hospital andfengman district maternal and child health care hospital a total of 54 cases of twin pregnancy（study group）and in the same period 77 cases of single births.The incidence of parity,delivery mode,mean gestational age,premature birth,brith weight,anemia,pregnancy induced hypertension syndrome,postpartmum hemorrhage,neonatal asphyxia and neonatal scleredema were analyzed in these two groups respectively.Results：Primipara than multipara easy birth twins,there were no significant difference in delivery mode in two groups.Prone to premature in twin pregnancy（P〈0.005）.The average birth weight of twin births lower than the single（P〈0.05）.Twin pregnancy more susceptible to moderate anemia（P〈0.005）.Twin pregnancy more susceptible to pregnancy induced hypertension syndrome,premature rupture of membranes,postpartum hemorrhage,neonatal asphyxia,neonatal scleredema（P〈0.05）.There were no significant difference in age in two groups.Conclusions：Twin pregnancies than singleton pregnancies have a significantly adverse perinatal outcome.