双胎早产的高危因素分析与其预防策略

The risk factor analysis and prevention strategies of premature twin

目的探讨双胎早产的高危因素,为预防和控制提供参考依据。方法回顾性分析2014年12月-2016年12月在江门市妇幼保健院分娩的150例早产双胎妊娠妇女作为早产组,随机选取150例非早产双胎妊娠妇女作为对照组,收集2组的临床资料,通过单因素分析法分析双胎早产的影响因素,采用Logistic回归分析法分析其危险因素。结果单因素分析显示,早产组患者高龄、妊娠期糖尿病、胎儿窘迫、胎膜早破发生率明显高于对照组,差异有统计学意义(P<0.05);Logistic回归分析显示,高龄、妊娠期糖尿病、胎儿窘迫、胎膜早破是双胎早产的危险因素,差异有统计学意义(P<0.05)。结论高龄、妊娠期糖尿病、胎儿窘迫、胎膜早破是双胎早产的高危因素。提示医师应重点对双胎妊娠妇女进行健康教育,让其养成良好的生活习惯、适当控制饮食、定期行产前检查,同时严密监护胎儿生长情况,加强产期保健等,以达到预防双胎早产的发生。

Objective To explore the risk factors of the twin premature and provide the references for prevention and control of the premature of twin. Methods A total of 150 women with twin premature infants were selected as the preterm group between December 2014 and December 2014 in our hospital,and 150 twin pregnancy women without premature infants were selected as control group. The clinical data of the two groups were collected and retrospectively analyzed. The single factor analysis method was used to analyze the influence factors of twin premature birth. While,its risk factors were analyzed by using logistic regression analysis method. Results Single factor analysis showed that the age,incidence of gestational diabetes,fetal distress,and premature rupture of membranes of the preterm group were higher than that of the control group. The differences were statistically significant（ P 〈0. 05）. Logistic regression analysis showed that age,gestational diabetes,fetal distress,premature rupture of membranes were the risk factors for twin premature infants. The differences were statistically significant（ P 〈0. 05）. Conclusion Older age,gestational diabetes,fetal distress,and premature rupture of membranes are the risk factors of twin premature infants. It reminded that in order to prevent the twin preterm births,the physicians should focus on giving twin pregnancy women health education,encourage them to form good living habits,properly control diet,receive regular antenatal examination,closely monitor the fetal growth at the same time,strengthen prenatal health care.