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目的探讨双胎妊娠分娩方式对新生儿窒息的影响。方法104例双胎妊娠产妇按分娩方式分为阴道分娩组及剖宫产组,对其临床资料进行回顾性分析。结果胎方位为头/头位剖宫产组和阴道分娩组比较,新生儿窒息发生率差异无显著意义(P>0.05),而头/非头位及臀/头或非头位两种分娩方式比较,新生儿窒息率差异均有显著意义(P<0.05);两组第1胎分娩新生儿的窒息率差异无显著意义(P>0.05),而第2胎分娩新生儿的窒息率剖宫产组显著低于阴道分娩组(P<0.05)。结论胎方位是决定分娩方式的主要因素之一,正确选择双胎妊娠的分娩方式,将有助于降低剖宫产率及新生儿窒息率。
Objective To investigate the effect of twin pregnancy delivery on neonatal asphyxia. Methods A total of 104 pregnant women with twin pregnancies were divided into vaginal delivery group and cesarean delivery group according to mode of delivery. The clinical data were retrospectively analyzed. Results There was no significant difference in the incidence of neonatal asphyxia between the cesarean section with head / head cesarean section and the vaginal delivery group (P> 0.05), while both head / non-head and hip / head or non-head birthing (P <0.05). There was no significant difference in the asphyxia rate of newborn infants in the first childbirth between the two groups (P> 0.05), while the rate of asphyxia in neonates with second childbirth Palace group was significantly lower than vaginal delivery group (P <0.05). Conclusion The fetal position is one of the main factors that determine the mode of delivery. Choosing the correct mode of delivery for twin pregnancy will help reduce cesarean section rate and neonatal asphyxia.