双胎未足月胎膜早破122例临床分析

发布时间：2018-10-21 17:29

【摘要】：目的:探讨双胎未足月胎膜早破(PPROM)的临床特点和妊娠结局。方法:回顾性分析双胎PPROM122例(研究组)及同期随机抽取的单胎PPROM183例(对照组),探讨两组胎膜早破发生率、发病孕周、期待治疗、新生儿预后等情况。结果:双胎妊娠PPROM发生率为21.0%,显著高于单胎妊娠PPROM发生率(3.5%)(P0.05);研究组早产儿体重明显低于对照组,窒息率明显高于对照组(P0.05);研究组胎膜早破孕周、终止妊娠孕周均早于对照组,研究组34周发生胎膜早破者期待时间明显短于对照组(P0.05)。结论:双胎妊娠易发生胎膜早破、早产、新生儿窒息,期待治疗时间短,应积极预防,出现胎膜早破积极对症治疗,选择合适的分娩方式,改善新生儿结局。
[Abstract]:Objective: to investigate the clinical features and pregnancy outcome of unmatured premature rupture of membranes (PPROM) in twins. Methods: the cases of twin PPROM122 (study group) and single fetal PPROM183 (control group) were analyzed retrospectively. The incidence of premature rupture of membranes, gestational weeks, expectant treatment and prognosis of newborns were studied. Results: the incidence of PPROM in twin pregnancy was 21.0, which was significantly higher than that in single pregnancy (3.5%), the weight of premature infants in study group was significantly lower than that in control group, and the asphyxia rate in study group was significantly higher than that in control group (P0.05). The expected time of premature rupture of membranes in the study group was significantly shorter than that in the control group at 34 weeks (P0.05). Conclusion: premature rupture of membranes preterm delivery and asphyxia of newborn are easy to occur in twin pregnancy. It is expected that the treatment time is short and should be actively prevented. The occurrence of premature rupture of membranes should be treated positively and the proper delivery mode should be selected to improve the neonatal outcome.
【作者单位】：重庆市妇幼保健院;
【基金】：重庆市卫生计生委科学研究项目(No:2016MSXM091)
【分类号】：R714.433

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