早产与社会环境因素  

The risk of preterm delivery and socio-environmental facfors

作　　者：张泽华[1] 陈晓勤[2] 赵小玉[1] 张丽[3] 颜焰[3] 柳怡[3] 

机构地区：[1]成都医学院护理学院,四川成都610083 [2]成都医学院基础医学院,四川成都610083 [3]成都市锦江区妇幼保健院保健科,四川成都610016

出　　处：《中国计划生育和妇产科》2010年第4期16-18,共3页Chinese Journal of Family Planning & Gynecotokology

基　　金：四川省教育厅人文社会科学重点研究基地-四川应用心理学研究中心重点资助项目(CSXL-61002)

摘　　要：目的探讨社会环境因素对早产的影响。方法纵向随访研究,通过问卷调查,收集妊娠妇女的个人资料、孕期工作环境、健康状况等。随访至分娩,观察妊娠结局情况。多因素Logistic回归方法分析数据。结果 711例调查对象中,早产发生率为16.46%,较既往报道稍高。年龄增长、工作噪音是早产发生的危险因素。近似值差异率(odd ratio,OR)分别为1.43[95%可信区间(confidence interval,CI)=1.05～1.94]、3.38(95%CI=1.21～9.39)。结论孕期保健时,应注意询问妊娠妇女工作环境状况,特别是外来务工的妊娠妇女,以便及时发现社会环境因素的不利影响,提供必要的帮助和指导。Objective To study the relationship between preterm delivery and socio-environmental factors.Methods The follow-up study was designed.The data was collected through questionnaires during pregnancy and followed up until delivery,covering the subjects’ personnel details,society and environment,health status during pregnancy,pregnant outcome and analyzed with multiple logistic regression analysis.Results The incidence of preterm delivery was 16.46% among 711 subjects that was higher than that in reported articles.Increasing age and occupational noise were associated with preterm delivery that the odd ratio（OR） was 1.43[95% confidence interval（CI）=1.05～1.94]、3.38（95%CI=1.21～9.39）respectively.Conclusion It was necessary to inquired occupational relative factors routinely during antenatal care in order to find socio-environment alzfactors and provide proper help and direction in time especially migrant workers with pregnant.

关 键 词：早产 相关性 社会环境因素 围孕期保健 

分 类 号：R714.21[医药卫生—妇产科学]