法国罗穆卢斯族群出生体重和足月的双胞胎异同。

C Charlemaine, M Duyme, F Guis, B Camous, Y Brossard, A Aurengo, R Frydman, J C Pons
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引用次数: 4

摘要

本研究旨在研究法国罗穆卢斯双生子群体的主要特征:合子性、绒毛膜性、性别、足月和出生体重。通过对104对双胞胎的合子性、绒毛膜性和性别进行区分,将其分为出生体重一致组和出生体重不一致组。53% (n = 55)的胎儿在“理想足月”(35-38周)出生,25% (n = 26)的胎儿在“早产”(28-34周)出生。非常早产(< 28周)和“晚期”(> 38周)共占样本的22% (n = 23)。在104对双胞胎中,68% (n = 71)的出生体重差异小于15%,32% (n = 33)的出生体重差异大于15%。在双卵(DZ)对中,女性更倾向于不一致组(p = 0.01),而在单绒毛膜-单卵(MC-MZ)对中,男性更倾向于不一致组(p = 0.07)。我们发现性别和合子型之间存在显著的交互作用(p = 0.02)。双绒毛膜-单卵双生子(DC-MZ)和DZ双生子雄性的出生体重差异显著小于雌性,而MC-MZ双生子雄性的出生体重差异显著高于雌性。没有MZ双胞胎的DC胎盘出生体重差超过15%。对数线性分析结果显示,足月型、合子型与发育不良之间存在三向交互作用(p < 0.05)。我们的数据表明,在妊娠35至38周出生的双胞胎中,足月和出生体重与受精卵和/或绒毛膜性之间的关系仍然是一个关键问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Twin differences and similarities of birthweight and term in the French Romulus population.

This study was performed to examine the main characteristics of the French Romulus twin population: zygosity, chorionicity, sex, term and birthweight. A sample of 104 pairs of twins was distinguished by zygosity, chorionicity and sex, and divided into concordant and discordant birthweight groups. Fifty-three % (n = 55) of the fetus pairs studied were born at "ideal term" (35-38 weeks), and 25% (n = 26) were delivered at "preterm" (28-34 weeks). The very preterm (< 28 weeks), and "postterm" (> 38 weeks) represented altogether 22% (n = 23) of the sample. Of the 104 twin pairs, 68% (n = 71) differ by less than 15% in birthweight, and 32% (n = 33) have a birthweight difference higher than 15%. In dizygotic (DZ) pairs females had more tendency to be in the discordant group (p = 0.01) while in monochorionic-monozygotic (MC-MZ) pairs males were more discordant (p = 0.07). We found a significant interaction between sex and zygosity type (p = 0.02). Males had a birthweight difference significantly weaker than that of females in dichorionic-monozygotic (DC-MZ) and DZ twins whereas it was higher than that of females in MC-MZ twins. There were no MZ twin pairs with DC placentation over than 15% birthweight difference. Log linear analysis demonstrated a three-way interaction (p < 0.05) between term type, zygosity type and hypotrophy. Our data indicate that in the group of twins born between 35 and 38 weeks' gestation the crucial question still remains unsettled on how term and birthweight are related to zygotism and/or chorionicity.

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