论文部分内容阅读
目的探讨双胎妊娠发生晚期流产的高危因素。方法回顾分析2009年1月至2014年1月北京妇产医院分娩的双胎妊娠患者,符合晚期流产入组标准的57例作为晚期流产组,随机抽取同期足月双胎妊娠的154例作为对照组,比较及分析双胎妊娠发生晚期流产的高危因素。结果双胎妊娠晚期流产的独立高危因素有孕中晚期阴道分娩史(P=0.006)、宫内感染(P=0.001)及阴道炎(P<0.001),而规律孕检(P<0.001)为保护性因素。结论孕期保健需严密监测具有高危因素的双胎妊娠患者,必要时行阴道分泌物检查,治疗阴道炎,对于既往早产、晚期流产史孕妇监测宫颈长度,规律孕检可以降低晚期流产的发生率。
Objective To investigate the risk factors of late pregnancy miscarriage in twin pregnancy. Methods A retrospective analysis of 57 pregnant women with twin pregnancy who were delivered at Beijing Maternity Hospital from January 2009 to January 2014 and who met the criteria of late miscarriage was used as a late abortion group. 154 pregnant women with term twin pregnancy were randomly selected as controls Group, to compare and analyze the risk factors of late abortion in twin pregnancy. Results The independent risk factors for late pregnancy miscarriage were vaginal delivery history (P = 0.006), intrauterine infection (P = 0.001) and vaginitis (P <0.001), while regular pregnancy test Protective factors. Conclusions Pregnancy should be closely monitored during pregnancy, with high risk factors for twin pregnancy, if necessary, vaginal discharge examination, treatment of vaginitis, previous preterm and abortion history of pregnant women to monitor the length of the cervix, regular pregnancy test can reduce the incidence of late abortion.