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[1]謝永進(jìn),鄧琳,羅金英.雙胎妊娠胎盤(pán)早剝母兒妊娠結(jié)局及相關(guān)因素分析[J].福建醫(yī)藥雜志,2022,44(05):1-4.
 XIE Yongjin,DENG Lin,LUO Jinying.Pregnancy outcomes and related factors in twin pregnancy with placental abruption[J].FUJIAN MEDICAL JOURNAL,2022,44(05):1-4.
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雙胎妊娠胎盤(pán)早剝母兒妊娠結(jié)局及相關(guān)因素分析()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
44
期數(shù):
2022年05期
頁(yè)碼:
1-4
欄目:
臨床研究
出版日期:
2022-10-15

文章信息/Info

Title:
Pregnancy outcomes and related factors in twin pregnancy with placental abruption
文章編號(hào):
1002-2600(2022)05-0001-04
作者:
謝永進(jìn)鄧琳1羅金英2
福建省婦幼保健院 福建醫(yī)科大學(xué)婦兒臨床醫(yī)學(xué)院(福州 350001)
Author(s):
XIE YongjinDENG LinLUO Jinying
College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fujian Maternity and Child Health Hospital, Fuzhou, Fujian 350001, China
關(guān)鍵詞:
雙胎妊娠胎盤(pán)早剝妊娠結(jié)局相關(guān)因素
Keywords:
twin pregnancy placental abruption pregnancy outcomes related factors
分類(lèi)號(hào):
R714.7
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 回顧性分析雙胎妊娠相關(guān)資料,探討雙胎妊娠胎盤(pán)早剝的母兒妊娠結(jié)局及相關(guān)影響因素,提高對(duì)雙胎妊娠胎盤(pán)早剝的認(rèn)識(shí)和處理能力。方法 以2015年6月至2018年5月福建省婦幼保健院雙胎妊娠孕婦為研究對(duì)象,選取胎盤(pán)早剝(病例組)30例,同期非胎盤(pán)早剝(對(duì)照組)60例,分析兩組妊娠結(jié)局的差異和可能的相關(guān)因素。 結(jié)果 研究期間雙胎胎盤(pán)早剝的發(fā)生率為2.26%(30/1 325)。病例組發(fā)生胎兒窘迫的概率顯著高于對(duì)照組(P<0.05);高齡孕婦、單絨毛膜雙胎、產(chǎn)前貧血是雙胎發(fā)生胎盤(pán)早剝的危險(xiǎn)因素(P<0.05);單絨毛膜雙胎和產(chǎn)前貧血是獨(dú)立危險(xiǎn)因素[OR=4.809,95%CI:(1.366,16.935);OR=2.930,95%CI:(1.048,8.193)]。結(jié)論 胎盤(pán)早剝?cè)黾恿穗p胎胎兒窘迫的發(fā)生,雙胎妊娠胎盤(pán)早剝與高齡孕婦、單絨毛膜、產(chǎn)前貧血等因素相關(guān)。
Abstract:
Objective To retrospectively analyze the maternal and neonatal outcomes and possible associated factors of placental abruption in twin pregnancies so as to improve the awareness and ability to deal with placental abruption in twin pregnancies .Methods Ninety cases of twin pregnant women delivered in Fujian Maternity and Child Health Hospital, Gynecology and Pediatrics Clinical Medical College of Fujian Medical University from June 2015 to May 2018 were involved, among which, 30 cases of placental abruption were chosen as case group and 60 cases of non-placental abruption as control group.The differences in pregnancy outcomes between the two groups and the possible related factors were analyzed. Results The incidence rate of twin placental abruption was 2.26% (30/1 325) during the study period. The incidence of fetal distress in case group was significantly higher than that in control group (P<0.05). Single factor analysis showed that advanced maternal age, monochorionic twin and prenatal anemia were the risk factors of placental abruption(P<0.05).Multiple logistic regression analysis showed that monochorionic twin and prenatal anemia were independent risk factors [OR=4.809, 95%CI: (1.366,16.935) and OR=2.930, 95%CI: (1.048,8.193)]. Conclusion Placental abruption increased the incidence of twin fetal distress when compared with non-twin pregnancies.Placental abruption was associated with advanced maternal age, monochorionic membranes and prenatal anemia.

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備注/Memo

備注/Memo:
基金項(xiàng)目:福建省自然科研基金項(xiàng)目(2018J01234)
1福建醫(yī)科大學(xué)婦兒臨床醫(yī)學(xué)院;2通信作者,E-mail:[email protected]
更新日期/Last Update: 2022-10-15