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未足月双胎孕妇胎膜早破影响因素及妊娠结局 被引量:1

Influencing Factors And Pregnancy Outcome Of Premature Rupture of Membranes in Pregnant Women with Preterm Twins
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摘要 目的:探究未足月双胎孕妇胎膜早破影响因素及妊娠结局。方法:采用回顾性分析方法,选择2016年1月1日—2018年12月31日濮阳市妇幼保健院收治的未足月胎膜早破双胎孕妇28例作为A组,选择同期收治的22例未足月无胎膜早破双胎孕妇作为B组。比较两组临床资料,采用logistic回归分析未足月双胎孕妇胎膜早破的影响因素,并分析两组妊娠结局。结果:两组患者妊娠期高血压、妊娠期糖尿病、胎位异常、子宫畸形、羊水过多、前置胎盘比例、产妇年龄、对比差异无统计学意义(χ^(2)=0.763、0.315、0.786、0.763、0.004、0.036,t=0.077,P>0.05)。A组的人工流产次数≥2次、生殖道感染、腹压增加、瘢痕子宫比例比B组高(χ^(2)=5.566、6.762、4.788、4.818,P<0.05)。采用logistic回归分析结果显示,生殖道感染、人工流产次数≥2次为未足月双胎孕妇胎膜早破的危险因素(P<0.05)。两组患者产褥期感染、产后出血、剖宫产情况对比,差异无统计学意义(χ^(2)=0.183、0.219、0.102,P>0.05),A组Apgar评分<7分、新生儿感染、窒息均比B组高(χ^(2)=4.788、5.009、5.864,P<0.05)。结论:存在生殖道感染、人工流产次数较多是足月双胎孕妇出现胎膜早破的危险因素,临床上应给予重视,未足月双胎孕妇胎膜早破更易出现新生儿不良妊娠结局。 Objective:To explore the influencing factors and pregnancy outcome of premature rupture of membranes in preterm twins.Methods:With retrospective analysis method,28 cases of preterm premature rupture of membranes with twin pregnant women admitted to the hospital from January 1,2016 to December 31,2018 were selected as group A,and 22 cases of preterm twin pregnant women without premature rupture of membranes were regarded as group B.The clinical data of the two groups were compared,logistic regression analysis was used to analyze the influencing factors of premature rupture of membranes in preterm twin pregnant women,and the pregnancy outcomes of the two groups were analyzed.Results:There were no significant difference in the ratio of hypertension,gestational diabetes,abnormal fetal position,maternal age,uterine malformation,polyhydramnios,and placenta previa between the two groups(χ^(2)=0.763,0.315,0.786,0.763,0.004,0.036,t=0.077,P>0.05).The number of induced abortions≥2 times,the proportion of reproductive tract infection,abdominal pressure increasing,and scarred uterus in group A was higher than those in group B,the difference was statistically significant(χ^(2)=5.566,6.762,4.758,4.818,P<0.05).Logistic regression analysis showed that genital tract infections and induced abortions≥2 times were risk factors for premature rupture of membranes in preterm twin pregnant women(P<0.05).There was no significant difference between the two groups of puerperal infection,postpartum hemorrhage,and cesarean section(χ^(2)=0.183,0.219,0.102,P>0.05).The Apgar score of group A was less than 7and the number of neonatal infections and asphyxia cases were higher than that of group B,the difference was statistically significant(χ^(2)=4.788,5.009,5.864,P<0.05).Conclusion:Premature rupture of membranes in pregnant women with full-term twins is the risk factors for premature rupture of membranes in pregnant women with reproductive tract infections and artificial abortions.Premature rupture of membranes in pregnant women with pret
作者 王丽娟 WANG Li-juan(Department of Obstetrics and Gynecology,Puyang Maternal and Child Health Hospital,Puyang,Henan,457000,China)
出处 《黑龙江医学》 2022年第9期1058-1060,共3页 Heilongjiang Medical Journal
关键词 未足月双胎孕妇 胎膜早破 妊娠结局 影响因素 Preterm twin pregnant women Premature rupture of membranes Pregnancy outcome Influencing factors
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