目的探讨妊娠高血压增加双胎妊娠不良妊娠结局的风险。方法 2011年8月-2016年4月选择在荆州市第五人民医院产科分娩的双胎妊娠中,选取双胎妊娠合并妊娠高血压孕妇110例作为观察组,同时以1:1配比方式在荆州市第五人民医院选择110例正常双胎妊娠孕妇作为对照组,两组都进行妊娠结局的调查与记录。结果观察组的分娩孕周为(35.30±2.42)周,剖宫产率为90.0%,对照组分别为(38.13±3.11)周和65.5%,两两对比差异均有统计学意义(P<0.05)。观察组孕妇并发症发生率胎膜早破(12.7%)、早产(37.3%)、贫血(65.5%)、产后出血(12.7%),对照组为2.7%、5.5%、30.9%和1.8%,观察组孕妇的并发症发生率明显高于对照组(P<0.05)。观察组的出生体重明显少于对照组,而双胎输血综合征、胎儿生长受限、新生儿窒息等发病率明显高于对照组,两两对比差异均有统计学意义(P<0.05)。结论当前双胎妊娠比较常见,妊娠高血压会缩短双胎妊娠时间、增加剖宫产风险,增加双胎妊娠不良妊娠结局,需要积极加强管理与预防。 Objective To investigate the risk of pregnancy-induced hypertension (BPH) increasing adverse pregnancy outcomes in twin pregnancies. Methods From August 2011 to April 2016, 110 pregnant women with twin pregnancy and pregnancy-induced hypertension (BPH) were selected as the observation group in the twin pregnancy of obstetric delivery in the Fifth People’s Hospital of Jingzhou City. At the same time, 1: 1 ratio Jingzhou Fifth People’s Hospital selected 110 cases of normal twin pregnant women as a control group, both groups were surveyed and recorded the outcome of pregnancy. Results The gestational age of the observation group was (35.30 ± 2.42) weeks, the rate of cesarean section was 90.0% and the control group was (38.13 ± 3.11) weeks and 65.5%, respectively, with significant difference between the two groups (P <0.05 ). The incidence of premature rupture of membranes (12.7%), preterm labor (37.3%), anemia (65.5%) and postpartum hemorrhage (12.7%) in observation group were 2.7%, 5.5%, 30.9% and 1.8% The incidence of complications in observation group was significantly higher than that in control group (P <0.05). The birth weight of the observation group was significantly less than that of the control group. The incidence of twin blood transfusion syndrome, fetal growth restriction and neonatal asphyxia were significantly higher than those of the control group (P <0.05). Conclusion The current twin pregnancy is more common, pregnancy-induced hypertension can shorten the time of twin pregnancy, increase the risk of cesarean section and increase the adverse pregnancy outcome of twin pregnancies. It is necessary to actively strengthen management and prevention.