孝感地区7所县市级医院妊娠期血小板减少症流行病学特征

发布时间：2018-11-04 18:10

【摘要】：目的探讨孝感地区7所县市级医院妊娠期血小板减少症的流行病学特征。方法采用调查表对2013年孝感市地区所辖7所县市级综合医院收治的血小板减少症孕产妇进行流行病学调查。所有数据行Logistic回归分析和Binomial检验。结果 7所县市级医院共收治血小板减少症孕妇342例,同期孕产妇7 348例,患病率4.7%。在7所县市医院中,安陆市血小板减少症孕妇比例最高(36.0%,123/342;OR=0.050),其次为孝南(25.4%,87/342;OR=0.027)和应城(21.1%,72/342,OR=0.048),此外,受教育程度低(31.6%,108/342,χ2=81.773)、居住地在农村(64.9%,222/342)、有电子加工职业经历(43.6%,149/342;OR=0.174)等均为其高危因素(P0.001)。分娩后1、2、6周内血小板恢复正常者分别为252例(73.7%)、46例(13.5%)和17例(5.0%),与居住地、文化程度、职业暴露等无相关性(OR=0.943,P=0.896)。结论孝感地区7所医院妊娠期血小板减少症中,安陆市比例高,且与居住地有工厂分布、文化程度低、孕前或孕期电子厂工作经历等密切相关。
[Abstract]:Objective to investigate the epidemiological characteristics of thrombocytopenia complicating pregnancy in 7 county hospitals in Xiaogan area. Methods Epidemiological investigation of thrombocytopenia in 7 county and city general hospitals in Xiaogan city in 2013 was carried out. All data were analyzed by Logistic regression analysis and Binomial test. Results 342 pregnant women with thrombocytopenia and 7 348 pregnant women with thrombocytopenia were admitted in 7 county and municipal hospitals. The prevalence rate was 4.7%. Among the 7 hospitals, the proportion of pregnant women with thrombocytopenia was the highest in Anlu city (36.0%), followed by Xiaonan (25.4%). OR=0.027) and Yingcheng (21.1 / 32), in addition to having a low level of education (31.6 / 108 / 342, 蠂 ~ 2 = 81.773) and living in the countryside (64.9 / 222 / 342), Professional experience in electronic processing (43.6%); OR=0.174 were all high risk factors (P0. 001). There were 252 cases (73.7%), 46 cases (13.5%) and 17 cases (5.0%) with normal platelets within 6 weeks after delivery. There was no correlation with residence, education level and occupational exposure (OR=0.943,P=0.896). Conclusion in 7 hospitals of Xiaogan area, the proportion of thrombocytopenia during pregnancy is high in Anlu city, which is closely related to factory distribution, low education level and working experience in electronics factory before pregnancy or during pregnancy.
【作者单位】：湖北省孝感市中心医院;
【基金】：2013-2014年度湖北省卫生厅青年科技人才项目(QJX201248)
【分类号】：R714.254

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