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目的:探讨双胎妊娠围产儿不良结局的影响因素。方法:选择2014年6月至2016年6月期间我院收治的130例双胎孕妇作为研究对象,对我院双胎产妇及围产儿的临床资料进行回顾分析,总结影响双胎妊娠围产儿的不良因素,并对影响因素进行单因素和多因素回归分析。结果:Logistic单因素结果显示,早产、受孕方式、绒毛膜性、分娩方式、未足月胎膜早破、妊娠期糖尿病等多种因素均可能影响双胎围产儿的结局,并具有统计学意义(P<0.05);Logistic多因素分析显示,早产、受孕方式、未足月胎膜早破和单绒毛膜性是影响双胎围产儿的主要不良因素,剖宫产生产方式可提高双胎围产儿结局良好率,均具有统计学意义(P<0.05)。结论:单绒毛膜性、未足月胎膜早破双胎是造成双胎妊娠围产儿结局不良的主要危险因素,而剖宫产生产方式则是双胎围产儿结局良好的保护因素。
Objective: To investigate the influencing factors of adverse outcomes in twin pregnancy. Methods: A total of 130 pregnant women with twin pregnancies admitted to our hospital from June 2014 to June 2016 were selected as the research objects. The clinical data of the twins and perinatal women in our hospital were retrospectively analyzed. The effects of perinatal neonates Adverse factors, and the impact of single factor and multivariate regression analysis. Results: Logistic single factor results showed that preterm birth, pregnancy mode, chorionicity, mode of delivery, premature rupture of membranes, gestational diabetes and other factors may affect the outcome of twins and have statistical significance (P <0.05). Logistic multivariate analysis showed that premature labor, pregnancy mode, preterm premature rupture of membranes and single chorionicity were the main adverse factors affecting twins. The cesarean section method could increase twins The good rate of childbirth outcomes were statistically significant (P <0.05). CONCLUSION: Single chorionic and unpromised premature rupture of membranes are the main risk factors for poor outcome in twin pregnancies. However, cesarean section production is a good protective factor for twins perinatal outcome.