双胎妊娠围产儿不良结局的影响因素分析

发布时间：2018-03-14 15:17

本文选题：双胎　切入点：围产儿不良结局　出处：《重庆医科大学学报》2015年05期 　论文类型：期刊论文

【摘要】：目的:探讨双胎妊娠围产儿不良结局的原因。方法:选取2013年1月1日至2013年12月31日在重庆市妇幼保健院住院分娩的双胎孕妇251例,回顾性分析孕妇及围产儿的临床资料,对影响围产儿不良结局的因素进行分析比较。结果:(1)251例双胎妊娠中,围产儿不良结局有87例,不良结局发生率高达34.66%,围产儿死亡21例,围产儿死亡率8.37%。(2)单因素分析结果:受孕方式、绒毛膜性、孕妇合并未足月胎膜早破、妊娠期糖尿病双胎妊娠围产儿结局有明显差异(P0.050)。(3)多因素分析结果:剖宫产分娩是双胎围产儿结局的保护性因素(P=0.000,OR=0.086,95%CI=0.023~0.321)。未足月胎膜早破和单绒毛膜性是双胎妊娠围产儿结局不良的危险因素(P=0.010,OR=2.979;P=0.043,OR=5.689)。结论:单绒毛膜性、孕妇合并未足月胎膜早破双胎是双胎妊娠围产儿结局不良的主要危险因素,而分娩方式剖宫产术是保护性因素。
[Abstract]:Objective: to investigate the causes of adverse perinatal outcomes of twin pregnancy. Methods: a total of 251 cases of twin pregnant women who were delivered in Chongqing Maternal and Child Health Care Hospital from January 1st 2013 to December 31st 2013 were analyzed retrospectively and the clinical data of pregnant women and perinatal infants were analyzed retrospectively. Results of 251 cases of twin pregnancy, 87 cases had adverse perinatal outcome, the incidence of adverse outcome was 34.66 and the perinatal death was 21 cases. The perinatal mortality rate was 8.37%.) the results of univariate analysis were as follows: mode of conception, chorionic villi, pregnant women with premature rupture of unmatured membranes, Results of multivariate analysis: cesarean section is the protective factor of twin perinatal outcome. Premature rupture of unmatured membranes and single chorionic membrane are the perinatal factors of twin pregnancy. Preterm premature rupture of fetal membranes and single chorionic membrane are the perinatal factors of twin pregnancy. The risk factors of poor outcome were P0. 010, OR2. 979, P0. 043, OR5. 689. Conclusion: single chorionic villi, Premature rupture of unmatured membranes was the main risk factor for adverse perinatal outcome of twin pregnancy, while cesarean section was the protective factor.
【作者单位】：重庆市妇幼保健院妇产科;
【分类号】：R714.7

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