204例双胎或三胎选择性减胎术后妊娠结局分析及护理  

Pregnancy outcomes and nursing of 204 cases of multiple pregnancies undergoing transvaginal multifetal pregnancy reduction

作　　者：邓明芬[1] 罗璐[1] 覃华[1] 周丽[1] 陈丽萍[1] 

机构地区：[1]中山大学附属第一医院生殖医学中心,广东广州510080

出　　处：《现代临床护理》2016年第7期53-56,共4页Modern Clinical Nursing

基　　金：广东省生殖医学重点实验室专项资助资金;项目编号为2012A061400003

摘　　要：目的探讨204例双胎或三胎选择性减胎术术后妊娠结局及总结护理要点。方法选择2009年1月~2012年12月在本院生殖中心经辅助生殖技术治疗后获双胎或三胎妊娠的患者共204例,孕7~8周在经阴道B超引导下行胚芽抽吸妊娠减胎术,对其妊娠结局进行分析,并总结其术前准备、术中配合及术后护理要点。结果所有患者均一次减胎成功,减胎后妊娠结局良好,抱婴回家率77.0%~92.3%。结论双胎或三胎选择性减胎术后患者妊娠结局良好;围手术期的心理疏导、术中手术配合、术后随访等,对减轻患者围手术期的心理压力、提高减胎术成功率及预防术后并发症有重要意义。Objective To analyze the pregnancy outcomes of 204 cases of multiple pregnancies following early transvaginal fetal reduction and sum up the experiences of peri-operation nursing care. Methods A total number of 204 twin and triplet pregnancies under treatment in the reproductive medical center from Jan. 2009 to Dec. 2012 were involved in the study. All patients underwent transvaginal multifetal pregnancy reduction during pregnancy of 7 to 8 weeks. The pregnancy outcomes were analyzed,and the nursing measures including preoperative preparation, intraoperative cooperation and postoperative nursing were analyzed.Result The successful rate of multifetal reduction was 100%, and the rate for taking the infants home reached 77.0% ~ 92.3 %.Conclusion The outcomes of multifetal reduction for the twin or triplet pregnancy are good. Such nursing measures as perioperative mental care, intraoperative cooperation and postoperative follow-up are key to the alleviation of mental pressure during operation, raise of the success rate of fetal reduction and prevention of postoperative complications.

关 键 词：选择性减胎术 辅助生殖技术 多胎妊娠 妊娠结局 护理 

分 类 号：R473.71[医药卫生—护理学]