妊娠早期被动吸烟与不良妊娠结局关系的队列研究  

Longitudinal study on relationship between adverse pregnancy outcomes and passive smoking during first trimester pregnancy

作　　者：徐育松[1] 徐娟[2] 杨勤[1] 王维鹏[1] 徐淑琴[1] 聂绍发[2] 邬堂春[2] 

机构地区：[1]湖北省妇幼保健院,430030 [2]华中科技大学同济医学院公共卫生学院

出　　处：《中国妇幼保健》2006年第12期1621-1623,共3页Maternal and Child Health Care of China

摘　　要：目的:分析城市孕早期妇女被动吸烟状况,探讨被动吸烟与不良妊娠结局的关系。方法:调查孕早期妇女被动吸烟状况,追踪其妊娠结局,采用卡方检验和Logistic回归分析的方法,分析被动吸烟与不良妊娠结局的关系。结果:城市孕早期妇女被动吸烟率为38.2%,被动吸烟与不良妊娠结局有一定的剂量反应关系,每日被动吸烟时间超过3 h对妊娠结局有显著影响。结论:被动吸烟可使不良妊娠结局发生的危险增加,每日被动吸烟时间超过3 h是不良妊娠的高危因素,孕妇应尽量避免暴露于吸烟环境,以减少不良妊娠结局的发生。Objective： To investigate the distribution of passive smoking in first-trimester pregnant women of city, and to study the relationship between passive smoking and adverse pregnancy outcomes. Methods： Maternal passive smoking status was gotten by questionnaire and two cohorts of passive smoking and non-passive smoking were established. Pregnancy outcomes were followed up. Chi -square test and logistic regression analysis were used to analyze relationship between passive smoking and adverse pregnancy outcomes. Results： The percentage of passive smoking in first-trimester pregnant women was 38.2%. Time exposed to passive smoking per day was related to adverse pregnancy outcomes. The time exposed to passive smoking more than 3 hours per day highly increased the risk of adverse pregnancy outcomes. Conclusion： Exposure to passive smoking more than 3 hours per day was an important risk factor of adverse pregnancy outcomes.. Women should be advised to avoid environmental tobacco smoke exposure.

关 键 词：被动吸烟 不良妊娠结局 妊娠早期 队列研究 

分 类 号：R714[医药卫生—妇产科学]