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目的 :探讨双胎妊娠合并贫血对妊娠结局的影响。方法:将 4 7例双胎妊娠分为两组 ,贫血组 2 1例 ,对照组 2 6例 ,对两组病例妊高征、胎膜早破、早产发生率与孕妇平均年龄、新生儿平均出生体重、新生儿 Apgar评分分别进行比较分析。结果 :贫血组妊高征、胎膜早破、早产发生率显著高于对照组 (P <0 .0 1) ,贫血组新生儿 Ap-gar评分 1min及 5 m in评分均显著低于对照组 (P <0 .0 5 ) ;贫血的严重程度与新生儿平均出生体重、新生儿 Ap-gar评分 1m in及 5 m in评分呈负相关 (P <0 .0 1)。结论 :双胎妊娠合并贫血时 ,易发生妊高征、胎膜早破、早产及低体重儿 ,对孕期及围产儿具有不良影响 ,贫血程度加重时 ,对围产儿的危害增加。
Objective: To investigate the impact of twin pregnancy with anemia on pregnancy outcome. Methods: Forty-seven twin pregnancies were divided into two groups, 21 in anemia group and 26 in control group. The incidences of PIH, premature rupture of membranes, the incidence of preterm birth and the average age of pregnant women, Birth weight, neonatal Apgar scores were compared. Results: The incidences of PIH, premature rupture of membranes and preterm birth in anemia group were significantly higher than those in control group (P <0.01). Apnea scores in 1 and 5 minutes in anemia group were significantly lower than those in control group (P <0.05). The severity of anemia was negatively correlated with the average birth weight of newborns, neonatal Apm-gar scores of 1 m in and 5 m in (P <0.01). Conclusion: Pregnancy and perinatal infants may be adversely affected by pregnancy-induced hypertension, premature rupture of membranes, premature rupture of membranes and low birth weight infants with twin pregnancy. When the level of anemia is increased, the risk of perinatal infants increases.