未足月双胎胎膜早破的40例临床观察(1)
【摘要】 目的：观察未足月双胎胎膜早破的临床特点和妊娠结局。方法：将40例未足月双胎胎膜早破患者设为治疗组，选取同期40例未足月单胎胎膜早破患者为对照组，对两组患者胎膜早破发生时间、并发症发生率和新生儿预后进行对比分析。结果：治疗组患者贫血、妊娠期高血压疾病、胎儿生长受限、产后出血、胎膜早破时间、胎膜破前宫缩发生率、破膜至终止妊娠时间、终止妊娠孕周、促胎肺成熟时间≥48 h、使用宫缩抑制剂、早产、剖宫产、新生儿体重、新生儿窒息和新生儿呼吸窘迫综合征同对照组患者比较，差异具有统计学意义(P<0.05)。结论：双胎为导致患者出现胎膜早破的主要因素，临床处理中较为棘手、出现早产率较高和新生儿预后困难，应通过科学有效的措施预防未足月双胎胎膜早破。
【关键词】 未足月胎膜早破； 双胎； 临床观察
Clinical Observation on 40 Cases of Preterm Premature Rupture of Membranes of Twins/YANG Li，HE Chun-mei，GU Su-fen.//Medical Innovation of China，2015，12(16)：126-128
, 百拇医药
【Abstract】 Objective：To observe the effect of preterm twins premature rupture of the clinical features and outcome of pregnancy.Method：40 cases of preterm twins in patients with premature rupture of membranes were selected as the treatment group，40 cases of preterm singleton in premature rupture of membrane as the control group，the two groups of patients with premature rupture of membranes，occurrence time，complication rate and neonatal prognosis were compared and analyzed.Result：In the treatment group，patients with anemia syndrome，fetal growth restriction，postpartum hemorrhage，premature rupture of fetal membranes，premature rupture of membranes before break time contractions rate，rupture of membranes to the time of termination of pregnancy，termination of pregnancy gestational age，fetal lung maturation time≥48 h，use of tocolytic rate，premature delivery rate，cesarean delivery，neonatal weight，neonatal asphyxia and neonatal respiratory distress syndrome compared with control group，the difference was statistically significant(P<0.05).Conclusion：The twins as the main factors leading to the premature rupture of membranes appear patients，clinical treatment more difficult，higher rate of preterm delivery and neonatal prognosis difficult，through scientific measures to prevent effective preterm twins premature rupture of membranes.
, 百拇医药
【Key words】 Preterm premature rupture of membranes； Twins； Clinical observation
First-author’s address：Heyuan Maternal and Child Health Care Station，Heyuan 517000，China
doi：10.3969/j.issn.1674-4985.2015.16.046
双胎妊娠是指在一次妊娠中，孕妇子宫中同时有两个胎儿，为多胎妊娠中的常见的一种。其虽为一种生理现象，但在妊娠期、分娩期和产后极易出现多种产科并发症和合并症，且发生率显著高于单胎妊娠患者的，因此，临床医师高度重视双胎妊娠患者。双胎妊娠发生率同种族、民族、遗传、营养因素、母亲年龄、胎次和垂体促性腺激素之间具有一定关系。目前，随着促排卵药物和辅助生殖技术的应用，双胎妊娠发生率逐渐上升，但随之而来的双胎妊娠发病率也逐渐上升，其给妇产科医生带来较大的挑战。临床上，双胎妊娠风险显著高于单胎妊娠的，且双胎妊娠患者出现早产和胎膜早破发生率较高[1]。未足月胎膜早破又被称之为足月前胎膜早破或早产胎膜早破，是孕妇妊娠没有达到37周，胎膜在孕妇临床前自发性破裂，其全部妊娠中其发生率为2.0%～3.5%，占早产的30%～40%。未足月双胎胎膜早破发生率为30.77%，其主要因胎儿体重较小，极易出现新生儿窒息、呼吸窘迫综合征、败血症和死亡等现象[2]。通过临床研究证明，孕妇越接近足月时，其胎膜早破发生率越高，且主要出现在34周后，高达81%，34周前的发生率约为19%。为进一步了解未足月双胎胎膜早破的临床特点和妊娠结局进行研究，结果如下。, 百拇医药(杨利 何春梅 古素芬)
【关键词】 未足月胎膜早破； 双胎； 临床观察
Clinical Observation on 40 Cases of Preterm Premature Rupture of Membranes of Twins/YANG Li，HE Chun-mei，GU Su-fen.//Medical Innovation of China，2015，12(16)：126-128
, 百拇医药
【Abstract】 Objective：To observe the effect of preterm twins premature rupture of the clinical features and outcome of pregnancy.Method：40 cases of preterm twins in patients with premature rupture of membranes were selected as the treatment group，40 cases of preterm singleton in premature rupture of membrane as the control group，the two groups of patients with premature rupture of membranes，occurrence time，complication rate and neonatal prognosis were compared and analyzed.Result：In the treatment group，patients with anemia syndrome，fetal growth restriction，postpartum hemorrhage，premature rupture of fetal membranes，premature rupture of membranes before break time contractions rate，rupture of membranes to the time of termination of pregnancy，termination of pregnancy gestational age，fetal lung maturation time≥48 h，use of tocolytic rate，premature delivery rate，cesarean delivery，neonatal weight，neonatal asphyxia and neonatal respiratory distress syndrome compared with control group，the difference was statistically significant(P<0.05).Conclusion：The twins as the main factors leading to the premature rupture of membranes appear patients，clinical treatment more difficult，higher rate of preterm delivery and neonatal prognosis difficult，through scientific measures to prevent effective preterm twins premature rupture of membranes.
, 百拇医药
【Key words】 Preterm premature rupture of membranes； Twins； Clinical observation
First-author’s address：Heyuan Maternal and Child Health Care Station，Heyuan 517000，China
doi：10.3969/j.issn.1674-4985.2015.16.046
双胎妊娠是指在一次妊娠中，孕妇子宫中同时有两个胎儿，为多胎妊娠中的常见的一种。其虽为一种生理现象，但在妊娠期、分娩期和产后极易出现多种产科并发症和合并症，且发生率显著高于单胎妊娠患者的，因此，临床医师高度重视双胎妊娠患者。双胎妊娠发生率同种族、民族、遗传、营养因素、母亲年龄、胎次和垂体促性腺激素之间具有一定关系。目前，随着促排卵药物和辅助生殖技术的应用，双胎妊娠发生率逐渐上升，但随之而来的双胎妊娠发病率也逐渐上升，其给妇产科医生带来较大的挑战。临床上，双胎妊娠风险显著高于单胎妊娠的，且双胎妊娠患者出现早产和胎膜早破发生率较高[1]。未足月胎膜早破又被称之为足月前胎膜早破或早产胎膜早破，是孕妇妊娠没有达到37周，胎膜在孕妇临床前自发性破裂，其全部妊娠中其发生率为2.0%～3.5%，占早产的30%～40%。未足月双胎胎膜早破发生率为30.77%，其主要因胎儿体重较小，极易出现新生儿窒息、呼吸窘迫综合征、败血症和死亡等现象[2]。通过临床研究证明，孕妇越接近足月时，其胎膜早破发生率越高，且主要出现在34周后，高达81%，34周前的发生率约为19%。为进一步了解未足月双胎胎膜早破的临床特点和妊娠结局进行研究，结果如下。, 百拇医药(杨利 何春梅 古素芬)