长沙市孕妇妊娠呕吐相关影响因素

发布时间：2018-11-05 13:54

【摘要】：目的:探讨妊娠呕吐的相关影响因素。方法:采用整群随机抽样方法,根据排除与纳入标准,收集湖南省长沙市某区3个街道社区卫生服务中心713例孕妇资料,回顾性收集其孕前、孕期和分娩情况,运用t检验、χ2检验和logistic回归分析孕妇呕吐的相关影响因素。结果:该区妊娠呕吐发生率为59.6%。多因素非条件logistic回归分析结果显示:女胎(OR=1.404,95%CI:1.035~1.905)、有阴道流血经历(OR=1.513,95%CI:1.062~2.156)和负性生活刺激量(OR=1.031,95%CI:1.009~1.054)是妊娠呕吐的危险因素,年龄是妊娠呕吐的保护因素(OR=0.798,95%CI:0.661~0.964)。结论:妊娠呕吐是多因素综合作用的结果,年龄、女胎、有阴道流血经历、负性生活刺激量是妊娠期呕吐的影响因素,应加强对较年轻孕妇的产前健康教育,对应激量较高孕妇的生活进行合适的维护,减少其负性生活刺激量。
[Abstract]:Objective: to investigate the related factors of vomiting in pregnancy. Methods: according to the criteria of exclusion and inclusion, 713 pregnant women were collected from community health service centers in three streets of Changsha, Hunan province. The data of pregnant women before pregnancy, pregnancy and delivery were collected retrospectively, and t test was used. 蠂 2 test and logistic regression analysis were used to analyze the related factors of vomiting in pregnant women. Results: the incidence of vomiting was 59.6%. Multivariate conditional logistic regression analysis showed that female fetus (OR=1.404,95%CI:1.035~1.905), Vaginal bleeding (OR=1.513,95%CI:1.062~2.156) and negative sexual stimulation (OR=1.031,95%CI:1.009~1.054) are risk factors for vomiting in pregnancy. Age is the protective factor of vomiting in pregnancy (OR=0.798,95%CI:0.661~0.964). Conclusion: vomiting in pregnancy is the result of multiple factors. Age, female fetus, vaginal bleeding and negative life stimulation are the influencing factors of vomiting during pregnancy. Prenatal health education should be strengthened for younger pregnant women. Maintain the life of pregnant women with higher stress and reduce the amount of negative life stimulation.
【作者单位】：中南大学湘雅公共卫生学院流行病学与卫生统计学系;长沙市开福区卫生局;
【基金】：国家自然科学基金(81373101)~~
【分类号】：R714.241

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