目的 探讨双胎妊娠的孕周及分娩方式与新生儿窒息的关系.方法 对101例双胎分娩的产妇分别按孕周及胎位各分为两组,对其资料进行回顾性分析.结果 <34孕周组新生儿窒息率显著高于≥34孕周组(P<0.05),双胎均为头位采用剖宫产或阴道产对新生儿窒息无明显影响(P>0.05),而非头-头位的阴道产组新生儿窒息率显著高于剖宫产组(P<0.05),第二出生新生儿中阴道产组的窒息率显著高于剖宫产组(P<0.05).结论 正确选择双胎妊娠的分娩方式,将有助于降低新生儿窒息率.%Aim To explore the relationship between pregnant week and delivery route and neonatal asphyxia in twin pregnancy. Methods 101 cases of twin pregnancy women were divided into two groups from pregnant week and fetal presentation, and were analyzed retrospectively. Results The incidence of neonatal asphyxia of women with pregnant week shorted than 34 weeks was higher than those longer than 34 weeks( P ＜ 0.05 ). When the fetal presentation were head head, no significant difference was shown in neonatal asphyxia of cesarean section or vaginal delivery( P ＞ 0.05 ), however, when the fetal presentation was not head-head, the incidence of neonatal asphyxia of vaginal delivery was higher than that of cesarean section( P ＜ 0.05 ). The incidence of neonatal asphyxia of second neonatal in vaginal delivery was higher than that in cesarean section( P ＜ 0.05 ). Conclusion The right route of delivery can lower the incidence of neonatal asphyxia.
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