孕产妇不良妊娠结局危险因素的巢式病例对照研究

发布时间：2018-04-23 05:03

本文选题：不良妊娠结局 + 危险因素　；参考：《中国现代医学杂志》2015年09期

【摘要】：目的探讨孕产妇不良妊娠结局的危险因素。方法采用巢式病例对照研究,将明确诊断为不良妊娠结局的44例孕产妇纳入病例组,按1:4频数匹配,随机抽取年龄和文化程度基本匹配而无不良妊娠结局的176例孕产妇纳入对照组,分析影响孕产妇不良妊娠结局发生的相关危险因素。结果湖南省长沙市不良妊娠结局的发生率为9.24%。多因素非条件Logistic回归分析结果显示:流产史(^OR=2.552,95%CI:1.278~5.097)、贫血(^OR=3.857,95%CI:1.610~9.243)和被动吸烟(^OR=2.730,95%CI:1.382~5.391)是不良妊娠结局的危险因素。结论湖南省长沙市不良妊娠结局的发生率处于中下水平。不良妊娠结局是多因素综合作用的结果,流产史、贫血和被动吸烟可能与不良妊娠结局有关,应加强产前健康教育,促进孕产妇养成良好的生活行为习惯和合理的饮食习惯,预防不良妊娠结局的发生。
[Abstract]:Objective to explore the risk factors of poor pregnancy outcome in pregnant women. Methods A nested case-control study was conducted. 44 pregnant women who were definitely diagnosed as adverse pregnancy outcomes were included in the case group and matched by 1:4 frequency. 176 pregnant women whose age and education level were basically matched but had no adverse pregnancy outcome were randomly selected to be included in the control group to analyze the related risk factors affecting the occurrence of poor pregnancy outcome of pregnant and parturient women. Results the incidence of adverse pregnancy outcome was 9.24 in Changsha, Hunan Province. The results of multivariate conditional Logistic regression analysis showed that the history of abortion (OR 2.55295 CI: 1.278v 5.097), anemia (OR 3.857C 95 CI: 1.6109.243) and passive smoking (OR 2.730 / 95CI1.382v 5.391a) were risk factors for adverse pregnancy outcomes. Conclusion the incidence of adverse pregnancy outcomes in Changsha City, Hunan Province is at the middle and lower levels. The adverse pregnancy outcome is the result of multiple factors. The history of abortion, anemia and passive smoking may be related to the adverse pregnancy outcome. Prenatal health education should be strengthened to promote the development of good habits of life behavior and reasonable eating habits of pregnant and lying-in women. Prevention of adverse pregnancy outcomes.
【作者单位】：中南大学公共卫生学院流行病与卫生统计学系;长沙市新河街道社区卫生服务中心;长沙市四方坪街道社区卫生服务中心;长沙市东风路街道社区卫生服务中心;
【基金】：国家自然科学基金资助项目(No:81373101) 中南大学中央高校基本科研业务费专项资金资助项目(No:2014zzts309)
【分类号】：R714.21

【参考文献】