摘要
【摘要】 目的：探讨双胎妊娠不同分娩方式及临床结局关系。方法：回顾性分析 2018年 1-12月本院收治的双胎妊娠孕妇 459例的临床资料，比较不同分娩方式下孕妇的一般资料、妊娠并发症和妊娠结局。结果：双胎妊娠选择剖宫产比率明显高于阴道分娩，臀 /头位剖宫产比率最高；阴道分娩组孕妇的年龄、孕周及初产妇例数均显著低于剖宫产组（ P<0.05）；孕妇伴发妊娠期高血压疾病、妊娠期糖尿病、胎儿窘迫、胎膜早破及胎盘早剥等并发症时，选择剖宫产的比率高于阴道分娩（ P<0.05）；阴道分娩组胎儿的早产率高于剖宫产组（ P<0.05），两组产后出血率比较，差异无统计学意义（ P>0.05）；新生儿体重较大者选择剖宫产的比率高于阴道分娩（ P<0.05），两种分娩方式的第 1胎生后的 Apgar评分比较，差异无统计学意义（ P>0.05），阴道分娩组第 2胎生后的 Apgar评分≤ 7分者明显高于剖宫产组（ P<0.05）。结论：双胎妊娠的孕妇在选择分娩方式时要综合考虑各项因素，改善妊娠结局及新生儿预后。
【关键词】 双胎妊娠； 剖宫产； 阴道分娩
[Abstract] Objective: To explore the relationship between different delivery methods and clinical outcomes of twin pregnancy. Methods: the clinical data of 459 cases of twin pregnancy in our hospital from January to December 2018 were analyzed retrospectively, and the general data, pregnancy complications and pregnancy outcomes of pregnant women in different delivery modes were compared. Results: the cesarean section rate of twin pregnancy was significantly higher than that of vaginal delivery, and the rate of breech / head cesarean section was the highest; the age, gestational weeks and the number of primiparas in vaginal delivery group were significantly lower than that in cesarean section group (P < 0.05); the rate of cesarean section was higher in pregnant women with complications such as pregnancy induced hypertension, gestational diabetes, fetal distress, prom and placental abruption In vaginal delivery (P < 0.05), the premature delivery rate in vaginal delivery group was higher than that in cesarean section group (P < 0.05), and there was no significant difference between the two groups in postpartum hemorrhage rate (P > 0.05); the rate of cesarean section for the heavier newborn was higher than that of vaginal delivery (P < 0.05), and there was no significant difference in Apgar score after the first birth between the two delivery methods (P > 0.05) The Apgar score ≤ 7 in the second birth group was significantly higher than that in the cesarean section group (P < 0.05). Conclusion: in order to improve the outcome of pregnancy and the prognosis of newborn, all factors should be taken into consideration when choosing the mode of delivery.
出版日期
2020年01月09日（中国期刊网平台首次上网日期，不代表论文的发表时间）
