阿依谢姆古丽·阿卜杜克热木 奥斯曼·阿卜力米提

【摘 要】目的：分析探究双胎妊娠的分娩方式与妊娠结局的临床研究。方法：在2021年1月至7月选择57例双胎妊娠产妇展开分析，根据其分娩方式的差异性分为阴道分娩组（n=28）和剖宫产组（n=29），并对两组妊娠结局进行综合比较。结果：阴道分娩组孕周<37周和新生儿体重<2500g占比率显著高于剖宫产组（P<0.05）；两组第一胎儿Apgar评分无显著差异（P>0.05），阴道分娩组第二胎儿Apgar评分>7分人数占比显著低于剖宫产组（P<0.05）。结论：对于双胎妊娠的产妇而言，其最终的分娩方式需要结合自身情况和胎儿情况进行选择，继而降低产妇产后出血、新生儿窒息等不良并发症发生率，保证母婴生命安全。

【关键词】妊娠结局；双胎妊娠；分娩方式；新生儿Apgar评分

To Explore the Clinical Research on the Delivery Method and Pregnancy Outcome of Twin Pregnancy

Ayixiemuguli·abudukeremu1 Aosiman·abulimiti2

1.Kashgar First Peoples Hospital， Kashgar， Xinjiang Kashgar 844000， China；2.Central Health Center of Alafu Township， Kashgar， Shule County， XinjiangShule 844200， China

【Abstract】Objective：To analyze and explore the clinical research on the delivery method and pregnancy outcome of twin pregnancy. Methods：From January 2021 to July 2021， 57 cases of twin pregnancies were selected for analysis. According to the differences in their delivery methods， they were divided into vaginal delivery group （n=28） and cesarean section group （n=29）. The pregnancy outcomes of the two groups were comprehensively compared. Results：The percentage of gestational age<37 weeks and neonatal weight <2500 g in the vaginal delivery group was significantly higher than that in the cesarean section group （P<0.05）； There was no significant difference in the Apgar scores of the first fetus between the two groups （P>0.05）， the proportion of the second fetus with Apgar score>7 points in the vaginal delivery group was significantly lower than that in the cesarean section group（P<0.05）.Conclusion：For women with twin pregnancies， the final delivery method needs to be selected based on their own conditions and fetal conditions， and then reduce the incidence of adverse complications such as postpartum hemorrhage and neonatal asphyxia， and ensure the safety of the mother and baby.

【Key？Words】Pregnancy outcome； Twin pregnancy； Delivery method； Neonatal Apgar score

雙胎妊娠指的是一次妊娠中同时有两个胎儿的情况，随着我国促排卵药物和新型辅助生殖技术的创新和进步，我国双胎妊娠发病率也随之增长，根据大量的研究和统计发现，双胎妊娠的窒息率和死亡率也相对较高，远超出单胎妊娠5倍～7倍[1-2]。针对双胎妊娠的产妇应当选择最佳的分娩方式，从而确保胎儿和孕妇的生命健康。本文针对双胎妊娠的分娩方式与妊娠结局的临床研究进行分析和观察，现报道如下。

1 资料与方法

1.1 一般资料

在2021年1月至7月选择57例双胎妊娠产妇展开分析，根据其分娩方式的差异性分为阴道分娩组（n=28）和剖宫产组（n=29）。剖宫产组，年龄22岁～39岁，平均年龄（30.56±4.15）岁，孕周33周～40周，平均孕周（36.56±3.24）周；阴道分娩组，年龄21岁～39岁，平均年龄（30.19±4.66）岁，孕周32周～41周，平均孕周（36.67±4.25）周。将两组一般资料进行比对（P>0.05），有可比性。

1.2 方法

以上57例产妇办理入院手续后分别接受剖宫产术和阴道分娩。

1.3 观察指标

收集以上两组患者临床一般资料，其中以产妇孕周、产后出血量、新生儿体重以及新生儿评分……