2960例活产儿早产情况及影响因素分析  

Study on preterm delivery and risk factors among 2 960 live births

作　　者：张佩[1] 窦淑龄 赵艳 陈雅芹 符绍莲[1] 张敬旭[1] 

机构地区：[1]北京大学公共卫生学院妇女与儿童青少年卫生学系 [2]北京市西城区人口和计划生育委员会

出　　处：《中国妇幼保健》2011年第20期3114-3116,共3页Maternal and Child Health Care of China

摘　　要：目的:了解调查人群早产儿的发生情况及影响因素,为制定干预措施提供依据。方法:采用横断面调查,在西城区7个街道调查2 960例已分娩妇女的新生儿出生情况及父母双方危险因素的接触情况,采用单因素分析和Logistic回归分析进行统计处理,探讨早产儿发生的危险因素。结果:早产儿发生率为3.6%。经单因素卡方检验,母亲孕前偏食、孕前或孕期患有高血压、孕期有先兆流产症状及剖宫产者早产儿的发生率高,差异具有统计学意义(P<0.05)。Logistic回归分析结果显示,母亲生育年龄较大(OR=1.060)、母亲孕前偏食(OR=2.059),孕期有先兆流产症状(OR=5.217)均是早产儿的危险因素。结论:调查人群早产儿发生率较低;早产儿的发生受多因素影响,与母亲孕前及孕期危险因素接触情况有关,应采取综合干预措施预防早产。Objective：To investigate the preterm delivery of live births in surveyed population,and to analyze the risk factors on the occurrence of preterm delivery so as to provide effective interventional strategy.Methods：A cross sectional survey of 2 960 women was conducted on their babies＇ outcome and the parents＇ risk factors exposed before and during the pregnancy.The data was analyzed with chi-square test and logistic regression analysis.Results：The incidence of preterm delivery in surveyed population was 3.6%.By the chi-square test,the mother who was particular about food,suffered hypertention before or during the pregnancy,suffered threatened abortion during the pregnancy and the caesarean section were the risk factors of preterm delivery（P0.05）.Logistic regression analysis showed that the mothers with older child-bearing age（OR=1.060）,particular about food（OR=2.059）and suffered threatened abortion during the pregnancy（OR=5.217） were associated with preterm delivery.Conclusion：The incidence of preterm delivery in surveyed population is low.It is affected by multi-factors and the preventions should be done in all aspects.

关 键 词：新生儿 早产 危险因素 

分 类 号：R722[医药卫生—儿科]