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本文对1990年至1993年在我院分娩的双胎围产儿202例进行分析,以总结围产期双胎儿高危因素,为采取有效干预措施提供参考资料。1 资料分析1.1 一般资料3年间我院双胎分娩总数101对,占同期分娩的1.2％,双卵双胎72对(71.3％),单卵双胎29对(28.7％),男婴95例,女婴107例.剖宫产占46.5％,臀位助产占23.8％,顺产占16.8％,胎头吸引产占12.9％。1.2 双胎与母孕期合并症的关系101例产妇中有妊娠并发症者61例(60.4％),同时具有两个以上并发症20例(32.8％),妊高征占首位46例(45.5％),是同期单胎的5倍,差异显著(P<0.01),其次胎膜早破19例,妊娠贫血14例,产后出血12例。
In this paper, 202 cases of twins perinatal delivery in our hospital from 1990 to 1993 were analyzed to summarize the risk factors of perinatal twins and to provide reference materials for effective interventions. 1 Data Analysis 1.1 General Information 3 years, the total number of twin births in our hospital 101 pairs, accounting for 1.2% of the same period of delivery, 72 pairs of twins (71.3%), 29 pairs of monozygotic twins (28.7% , 107 cases of baby girl.Cesarean section accounted for 46.5%, breech delivery accounted for 23.8%, 16.8% of births, fetal head attraction accounted for 12.9%. There were 61 cases (60.4%) with pregnancy complications in 101 cases of maternal pregnancy, 20 cases (32.8%) with more than two complications, and the first 46 cases (45.5% ), Which was 5 times higher than that of the singleton in the same period (P <0.01), followed by 19 cases of premature rupture of membranes, 14 cases of anemia of pregnancy and 12 cases of postpartum hemorrhage.