妇产与遗传（电子版）
婦產與遺傳（電子版）
부산여유전（전자판）
Obstetrics-Gynecology and Genetics(Electronic Edition)
2013年
4期
40-44
,共5页
妊娠,多胎%自然分娩%剖宫产术
妊娠,多胎%自然分娩%剖宮產術
임신,다태%자연분면%부궁산술
pregnancy,multipe%Natural chirdbirth%cesarean section
目的：探讨孕周≥34周双胎妊娠产妇的分娩方式对母亲和新生儿结局的影响。方法收集福建医科大学附属协和医院2006年6月至2013年5月60例孕周≥34周双胎妊娠产妇的临床资料，根据分娩方式的不同分为阴道分娩组（11例）和剖宫产组（49例），对其资料进行回顾性分析。结果阴道分娩组胎方位以头-头位为主，余为头-臀位，而剖宫产组胎方位多样。阴道分娩组无妊娠合并症，而剖宫产组妊娠合并症为37例（75.51%）。两组产妇的分娩孕周、产后出血发生率、输血发生率均无显著性差异（χ2=1.97，P=0.16；χ2=0.63，P=0.43；χ2=1.88，P=0.17）。活产新生儿120例。两组新生儿体重、窒息发生率、入住NICU（新生儿重症监护室）率无显著性差异（χ2=1.53，P=0.22；χ2=2.78，P=0.10；χ2=0.24，P=0.62）。但剖宫产组住院时间显著增加（t=5.46, P<0.05）。结论双胎妊娠产妇无合并症或者合并症轻微，胎方位为头/头、头/臀位，胎儿体重相对较小，可考虑经阴道分娩。
目的：探討孕週≥34週雙胎妊娠產婦的分娩方式對母親和新生兒結跼的影響。方法收集福建醫科大學附屬協和醫院2006年6月至2013年5月60例孕週≥34週雙胎妊娠產婦的臨床資料，根據分娩方式的不同分為陰道分娩組（11例）和剖宮產組（49例），對其資料進行迴顧性分析。結果陰道分娩組胎方位以頭-頭位為主，餘為頭-臀位，而剖宮產組胎方位多樣。陰道分娩組無妊娠閤併癥，而剖宮產組妊娠閤併癥為37例（75.51%）。兩組產婦的分娩孕週、產後齣血髮生率、輸血髮生率均無顯著性差異（χ2=1.97，P=0.16；χ2=0.63，P=0.43；χ2=1.88，P=0.17）。活產新生兒120例。兩組新生兒體重、窒息髮生率、入住NICU（新生兒重癥鑑護室）率無顯著性差異（χ2=1.53，P=0.22；χ2=2.78，P=0.10；χ2=0.24，P=0.62）。但剖宮產組住院時間顯著增加（t=5.46, P<0.05）。結論雙胎妊娠產婦無閤併癥或者閤併癥輕微，胎方位為頭/頭、頭/臀位，胎兒體重相對較小，可攷慮經陰道分娩。
목적：탐토잉주≥34주쌍태임신산부적분면방식대모친화신생인결국적영향。방법수집복건의과대학부속협화의원2006년6월지2013년5월60례잉주≥34주쌍태임신산부적림상자료，근거분면방식적불동분위음도분면조（11례）화부궁산조（49례），대기자료진행회고성분석。결과음도분면조태방위이두-두위위주，여위두-둔위，이부궁산조태방위다양。음도분면조무임신합병증，이부궁산조임신합병증위37례（75.51%）。량조산부적분면잉주、산후출혈발생솔、수혈발생솔균무현저성차이（χ2=1.97，P=0.16；χ2=0.63，P=0.43；χ2=1.88，P=0.17）。활산신생인120례。량조신생인체중、질식발생솔、입주NICU（신생인중증감호실）솔무현저성차이（χ2=1.53，P=0.22；χ2=2.78，P=0.10；χ2=0.24，P=0.62）。단부궁산조주원시간현저증가（t=5.46, P<0.05）。결론쌍태임신산부무합병증혹자합병증경미，태방위위두/두、두/둔위，태인체중상대교소，가고필경음도분면。
Objective To study the relationship between childbirth way and pregnancy outcome in twin pregnancy after 34 weeks. Methods Clinical data of 60 cases of twin pregnancy women, which were divided into two groups according to the delivery mode from Jan. 2006 to May. 2013 were analyzed retrospectively. Results The head-head position is the main fetal position in vaginal delivery group, and the other is head-breech. Cesarean group fetal position is diverse. Vaginal delivery group had no pregnancy complications, and there is 37cases (75.51%) in cesarean group. There was no difference in gestational weeks, postpartum hemorrhage, transfusion rate (χ2=1.97,P=0.16;χ2=0.63,P=0.43;χ2=1.88, P=0.17). There are 120 cases of live birth. There was no difference in neonatal weight, neonatal asphyxia and neonatal NICU (Neonatal Intensive Care Unit) occupancy rate of two groups (χ2=1.53,P=0.22;χ2=2.78,P=0.10;χ2=0.24,P=0.62). Cesarean section is in the hospital for a long time. Conclusion Twin pregnancy women without complications or minor, the fetal position is the head/head, head/breech and low birth-weight, which is beneficial to vaginal delivery.
