国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
20期
3119-3122
,共4页
多胎妊娠管理%早产预测%宫颈长度%fFN%减胎时机
多胎妊娠管理%早產預測%宮頸長度%fFN%減胎時機
다태임신관리%조산예측%궁경장도%fFN%감태시궤
Multiple pregnancy%Prediction of preterm delivery%Cervical length%Fibronectin%Fetal reduction
目的 探讨多胎妊娠管理模式.方法 将290例多胎妊娠产妇分为A、B、C三组,2010年85例分为对照A组,为传统孕期产检；2011年73例分为实验B组,孕晚期B超测量宫颈长度预测早产,2012年132例为实验C组,孕晚期B超测量宫颈长度联合检测胎儿纤维连接蛋白(fFN)预测早产.对比三组平均孕周和平均出生体重.结果C组孕周(36.1±1.1),较A组(33.8±1.4)、B组(35.6±1.3)延长(P＜0.05)；C组早产率(43.2％)较A组(60.0％)、B组(52.0％)降低(P＜0.05)；C组新生儿平均体重[(2.48±0.04)kg]较A组[(2.24±0.03)kg]、B组[(2.36±0.03)kg]升高(P＜0.01)；C组妊娠并发症较A、B组减少(P＜0.05).结论 加强多胎妊娠管理,可以有效预测早产,及时采取有效措施,减少母婴并发症.
目的 探討多胎妊娠管理模式.方法 將290例多胎妊娠產婦分為A、B、C三組,2010年85例分為對照A組,為傳統孕期產檢；2011年73例分為實驗B組,孕晚期B超測量宮頸長度預測早產,2012年132例為實驗C組,孕晚期B超測量宮頸長度聯閤檢測胎兒纖維連接蛋白(fFN)預測早產.對比三組平均孕週和平均齣生體重.結果C組孕週(36.1±1.1),較A組(33.8±1.4)、B組(35.6±1.3)延長(P＜0.05)；C組早產率(43.2％)較A組(60.0％)、B組(52.0％)降低(P＜0.05)；C組新生兒平均體重[(2.48±0.04)kg]較A組[(2.24±0.03)kg]、B組[(2.36±0.03)kg]升高(P＜0.01)；C組妊娠併髮癥較A、B組減少(P＜0.05).結論 加彊多胎妊娠管理,可以有效預測早產,及時採取有效措施,減少母嬰併髮癥.
목적 탐토다태임신관리모식.방법 장290례다태임신산부분위A、B、C삼조,2010년85례분위대조A조,위전통잉기산검；2011년73례분위실험B조,잉만기B초측량궁경장도예측조산,2012년132례위실험C조,잉만기B초측량궁경장도연합검측태인섬유련접단백(fFN)예측조산.대비삼조평균잉주화평균출생체중.결과C조잉주(36.1±1.1),교A조(33.8±1.4)、B조(35.6±1.3)연장(P＜0.05)；C조조산솔(43.2％)교A조(60.0％)、B조(52.0％)강저(P＜0.05)；C조신생인평균체중[(2.48±0.04)kg]교A조[(2.24±0.03)kg]、B조[(2.36±0.03)kg]승고(P＜0.01)；C조임신병발증교A、B조감소(P＜0.05).결론 가강다태임신관리,가이유효예측조산,급시채취유효조시,감소모영병발증.
Objective To investigate the management mode of multiple pregnancy.Methods 290 cases of multiple pregnancies were divided into three groups (group A,group B and group C),85 cases were treated with traditional pregnancy inspection in 2010 as group A; 73 cases were treated with traditional pregnancy inspection and measurement of cervical length prediction of preterm delivery through ultrasound during the late pregnancy in 2011 as group B; 132 cases treated with traditional pregnancy inspection,were measured the cervical length prediction of preterm delivery through ultrasound and the level of Fibronectin (fFN) in 2012 as group C.The average gestational weeks and the average birth weight were analyzed among three groups.Results Compared with group A and B,the gestational weeks prolonged (P＜0.05),the preterm birth rate and pregnancy complications declined (P＜0.05),and the average birth weight increased in group C (P＜0.01).Conclusion Strengthening the management of multiple pregnancy can effectively predict preterm delivery and reduce the complications of mothers and infants.
