青海地区妇女早产的相关因素及母婴结局分析

发布时间：2018-01-20 05:00

本文关键词： 早产胎膜早破宫内感染　出处：《重庆医学》2017年34期 　论文类型：期刊论文

【摘要】：目的探讨青海地区妇女早产的相关因素。方法选取2015年4月至2016年4月在青海省西宁市第二人民医院分娩的产妇5 988例,对入组产妇的临床资料进行单因素和多因素Logistic回归分析,比较早产组和足月组的母婴结局。结果年龄小于18岁或大于35岁、文化程度初中及以下、未婚、妊娠期高血压、产前检查小于或等于5次、多胎、流产史、胎膜早破、宫内感染妇女早产率明显高于其他妇女,差异有统计学意义(P0.05)。产前检查小于或等于5次、多胎、流产史、胎膜早破、宫内感染是影响青海地区妇女早产的独立危险因素(P0.05)。早产组的产后出血、新生儿窒息及新生儿病死率均明显高于足月组,差异有统计学意义(P0.05)。结论青海地区妇女早产受产前检查次数、胎数等多方面因素影响,并在一定程度上增加产后出血、新生儿窒息的发生风险,临床上应对高危产妇进行及时干预。
[Abstract]:Objective to investigate the related factors of preterm delivery of women in Qinghai area. Methods 5 988 cases of parturient delivered in the second people's Hospital of Xining City Qinghai Province from April 2015 to April 2016 were selected. Univariate and multivariate Logistic regression analysis was performed to compare the maternal and infant outcomes between preterm and full-term women. Results the age was less than 18 years old or more than 35 years old. Education level of junior high school and below, unmarried, pregnancy complicating hypertension, prenatal examination less than or equal to 5 times, multiple births, abortion history, premature rupture of membranes, intrauterine infection women than other women significantly higher premature delivery rate. The difference was statistically significant (P 0.05). Prenatal examination was less than or equal to 5 times, multiple births, history of abortion, premature rupture of membranes. Intrauterine infection was an independent risk factor for preterm delivery in Qinghai women. Postpartum hemorrhage, neonatal asphyxia and neonatal mortality were significantly higher in premature delivery group than in term group. Conclusion the preterm delivery of women in Qinghai area is affected by many factors, such as the number of antenatal examinations and the number of births, and to a certain extent increases the risk of postpartum hemorrhage and neonatal asphyxia. Clinical intervention should be carried out in time for high-risk parturient.
【作者单位】：青海省西宁市第二人民医院产科;青海省人民医院妇产科;青海省交通医院产科;
【分类号】：R714.21
【正文快照】： 早产是指妊娠不满37周分娩,全国早产率为5%~15%,大多数早产儿的体质量偏低,且新生儿期病死率明显升高[1-2]。近年来,我国早产儿监护和治疗水平有了显著提高,早产发生率有所降低,早产儿生存率明显升高。但是,由于我国人口基数大,早产儿数量仍然高于世界范围内的平均水平。与足

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