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目的探讨双(多)胎早产儿并发症及孕产期高危因素。方法前瞻性研究99例双(多)胎早产儿,与同期出生的单胎早产儿99例,进行对照研究。结果实验组在平均体重,母亲孕期贫血,新生儿期并发颅内出血、小于胎龄儿等方面,与对照单胎组有显著差异(P<0.05);在孕周、住院天数,母亲妊娠期高血压、宫内窘迫,新生儿期并发黄疸、肺炎、缺氧缺血性脑病等方面,与对照单胎组比较差异无显著性(P>0.05)。结论加强围产期保健,减少妊娠期高血压、宫内窘迫、贫血等疾病的发生,提高双胎妊娠的孕周,可减少颅内出血、缺氧缺血性脑病等的发生,提高双(多)胎儿生存质量。
Objective To investigate the complications of preterm infants with multiple births (multiple births) and risk factors during pregnancy. Methods A prospective study of 99 cases of double (multiple) premature children, and singleton fetus born at the same period in 99 cases, a controlled study. Results The experimental group had significant differences (P <0.05) in the average body weight, anemia during pregnancy, intracranial hemorrhage in the neonatal period and small gestational age (P <0.05). In the gestational age, hospitalization days, mother’s gestational age Blood pressure, intrauterine distress, neonatal jaundice, pneumonia, hypoxic-ischemic encephalopathy and other aspects, compared with the control singleton group no significant difference (P> 0.05). Conclusions Strengthen the perinatal care, reduce the incidence of pregnancy-induced hypertension, intrauterine distress, anemia and other diseases, improve gestational age of twin pregnancy, reduce the incidence of intracranial hemorrhage, hypoxic-ischemic encephalopathy and improve the double Fetal quality of life.