河南省农村育龄妇女不良妊娠结局影响因素分析

发布时间：2018-01-13 13:17

本文关键词：河南省农村育龄妇女不良妊娠结局影响因素分析　出处：《郑州大学学报(医学版)》2017年01期 　论文类型：期刊论文

【摘要】：目的:探讨影响河南省农村地区育龄妇女不良妊娠结局的危险因素。方法:采用随访研究的方法对河南省4个项目县2012年有生育打算的17 911对育龄夫妇进行问卷调查,了解疾病史、孕育史、家族史、生活习惯等方面的内容,并对孕期和妊娠结局情况进行随访。不良妊娠结局影响因素分析采用logistic回归分析。结果:育龄妇女年龄在20~47岁,其中31~岁妇女占4.1%(731/17 911),35岁以上妇女占1.0%(181/17 911);初中及以下学历者占75.0%(13 438/17 911);农民占86.0%(15 395/17 911)。有73.5%(13 137/17 864)的育龄妇女在1 a内怀孕,其中正常活产12 506人,不良妊娠结局631人。多因素logistic回归分析结果显示:高龄妊娠(OR=3.600,95%CI=1.164~11.134)、既往不良妊娠史(OR=5.607,95%CI=1.641~19.162)、正确服用叶酸(OR=0.598,95%CI=0.383~0.935)是不良妊娠结局的影响因素。结论:高龄妊娠和既往不良妊娠史是不良妊娠结局的危险因素,正确服用叶酸是保护因素。
[Abstract]:Objective: to investigate the risk factors of adverse pregnancy outcome of women of childbearing age in rural areas of Henan Province. 911 couples of childbearing age were investigated by questionnaire. Understand the history of disease, gestation history, family history, life habits and other aspects of the content. The influencing factors of adverse pregnancy outcome were analyzed by logistic regression analysis. Results: the age of women of childbearing age was 20 to 47 years old. Among them, women aged 31 ~ years accounted for 4.1% of 731% 17 911% and women over 35 years old accounted for 1.0% 18 1 / 17 91 1; Those with junior high school education or below accounted for 75.0% and 13 438/17 911%; The proportion of women of child-bearing age was 86.0 and 15 395/17 9111.There were 73.5% of the women of childbearing age who became pregnant within one year. Among them, 12 506 normal live births and 631 adverse pregnancy outcomes. The results of multivariate logistic regression analysis showed that the elderly pregnancy was 3.600. The incidence was 1.164 and 11.134, and the previous history of adverse pregnancy was 5.607 / 95, and the CIQ was 1.641 / 19.162). Take folate ORA 0.598 correctly. Conclusion: elderly pregnancy and previous history of adverse pregnancy are the risk factors of adverse pregnancy outcome. Proper use of folic acid is a protective factor.
【作者单位】：河南省人口和计划生育科学技术研究院国家卫生计生委出生缺陷预防重点实验室;
【基金】：河南省属预研项目2014yy006
【分类号】：R714.2
【正文快照】： 内怀孕,其中正常活产12 506人,不良妊娠结局631人。多因素logistic回归分析结果显示:高龄妊娠(OR=3.600,95%CI=1.164~11.134)、既往不良妊娠史(OR=5.607,95%CI=1.641~19.162)、正确服用叶酸(OR=0.598,95%CI=0.383~0.935)是不良妊娠结局的影响因素。结论:高龄妊娠和既往不良妊

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