摘要
目的探讨双胎妊娠绒毛膜性对妊娠并发症及围生儿预后的影响。方法选取在该院定期产检并分娩的116例双胎妊娠产妇为研究对象,其中41例为单绒毛膜(A组),75例为双绒毛膜(B组),比较两组产妇妊娠并发症情况及围生儿预后情况。结果 A组产妇的早产、妊娠期肝内胆汁淤积症(ICP)、羊水过多发生率均显著高于B组(P<0.05);两组产妇的产后出血率、剖宫产率比较差异无统计学意义(P>0.05)。A组围生儿的双胎输血综合征(TTTs)、选择性胎儿宫内生长受限、胎儿发育畸形发生率均显著高于B组(P<0.05)。A组新生儿入住NICU、新生儿窒息、新生儿呼吸窘迫综合征(RDS)、缺血缺氧性脑病(HIE)、持续性动脉导管未闭(PDA)发生率均显著高于B组(P<0.05)。结论双胎妊娠绒毛膜性与围生儿结局和妊娠并发症均有密切联系,单绒毛膜的妊娠并发症发生率更高,其对围生儿的危险性比双绒毛膜更大。
Objective To explore the effect of chorionicity of twin pregnancy on pregnancy complications and prognosis of perinatal infants. Methods A total of 116 women with a twin pregnancy accepted prenatal examination regularly and gave birth to their babies in the hospital,then they were selected and divided into group A（ monochorionic twin,41 women） and group B（ dichorionic twin,75 women）.Pregnancy complications and prognosis of perinatal infants in the two groups were compared. Results The incidence rates of premature birth,intrahepatic cholestasis of pregnancy（ ICP）,and polyhydramnios in group A were statistically significantly higher than those in group B（ P〈0. 05）. There was no statistically significant difference in the incidence rate of postpartum hemorrhage and cesarean section rate between the two groups（ P〈0. 05）. The incidence rates of twin-to-twin transfusion syndrome（ TTTs）,selective intrauterine growth restriction,and fetal malformations in group A were statistically significantly higher than those in group B（ P〈0. 05）. The incidence rates of ICU stay,neonatal asphyxia,neonatal respiratory distress syndrome,hypoxic-ischemic encephalopathy,and continuous patent ductus arteriosus in group A were statistically significantly higher than those in group B（ P〈0. 05）. Conclusion Chorionicity of twin pregnancy is closely correlated with perinatal outcomes and pregnancy complications; compared with dichorionic twin,the incidence rate of pregnancy outcomes in monochorionic twin is higher,and the danger to perinatal infants is larger.
出处
《中国妇幼保健》
CAS
2017年第11期2307-2309,共3页
Maternal and Child Health Care of China
基金
四川省卫生计生委重点研究项目(1620017)
关键词
围生儿预后
妊娠并发症
双胎妊娠
绒毛膜性
Prognosis of perinatal infant
Pregnancy complication
Twin pregnancy
Chorionicity
