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作 者:袁海虹[1]
机构地区:[1]广西壮族自治区妇幼保健院妇产科,广西南宁530003
出 处:《右江民族医学院学报》2002年第6期823-824,共2页Journal of Youjiang Medical University for Nationalities
摘 要:目的 了解双胎妊娠并发症的预防及治疗。方法 对 5年间 16 1例双胎妊娠及同期 9182例单胎妊娠临床资料作对比分析。结果 双胎妊娠组的胎膜早破、早产、新生儿窒息、剖宫产率分别为 2 9.2 % ( 4 7/16 1)、42 .2 % ( 6 8/16 1)、2 4.8% ( 4 0 /16 1)、70 .2 % ( 113/16 1) ,明显高于同期单胎妊娠组 ,分别为 13.2 % ( 12 12 /9182 )、5 .8% ( 5 33/9182 )、8.3% ( 76 2 /9182 )、2 7.3% ( 2 5 0 6 /9182 )。两组并发症比较 ,P均 <0 .0 0 5 ,差异有高度显著性。结论 做好围生期的保健工作 ,是减少双胎并发症和降低围生儿死亡率的关键。Objective investigate the prevention and treatment of the twin pregnancy complication. Methods Clinical records from 161 twin pregnancies and 9182 monocyesises at the same period within 5 years were comparatively analyzed. Results In twin pregnancy group, the complication rates of premature rupture of fetal membranes, premature labor, asphyxia neonatorum and cesarean were 29.2% (47/161), 42.2% (68/161), 24.8% (40/161) and 70.2% (113/161), respectively; and in monocyesis group, they were 13.2% (1212/9182), 5.8% (533/9182), 8.3% (762/9182) and 27.3% (2506/9182). The complication rates in twin pregnancy group were significantly higher than those in monocyesis group, P<0.005. Conclusions The key to reduce twin pregnancy complication and lower mortality rate was to take good care of the health of the pregnancies in perinatal period.
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