早产影响因素的多中心病例对照研究  

Risk factors for preterm birth in Beijing: a multi-center case-control study

作　　者：刘晓红[1] 张运平[1] 高素红[1] 王佳楣[1] 顾岳山 张久越 周霞[4] 李庆霞[5] 

机构地区：[1]北京市海淀区妇幼保健院,100080 [2]北京市通州区妇幼保健院 [3]北京市顺义区妇幼保健院 [4]北京市昌平区妇幼保健院 [5]北京市大兴区妇幼保健院

出　　处：《中国妇产科临床杂志》2012年第5期345-348,共4页Chinese Journal of Clinical Obstetrics and Gynecology

基　　金：联合国儿童基金会项目(YH601-11);北京市科委项目(Z090507017709014)

摘　　要：目的探讨北京市二级专科医院早产发生的影响因素。方法以2009年8月至2010年8月期间在北京市5家二级专科医院住院分娩的早产产妇为研究对象,按照同分娩医院、产妇年龄、分娩时间进行1∶1配对,共统计早产产妇1323例和足月分娩产妇1323例,通过查阅病例、询问产妇来完成问卷调查。结果产前保健、均衡饮食、常住地址为城镇是早产的保护性因素,受教育程度低、负性生活事件、孕期性生活、前置胎盘、妊娠期糖尿病、妊娠期高血压疾病、早产史、胎膜早破是早产的危险因素。结论早产与多种因素相关,需要从个体、家庭、社会等多方面采取措施,进行广泛有效的健康教育和医疗保健服务,尽量减少和预防早产的发生。Objective To explore the risk factors for preterm birth in maternal and child health hospitals in Beijing. Methods A 1 ： 1 case-control study was performed. Data of 1 323 women with preterm birth （case group） and 1 323 women with term delivery （control group） in five maternal and child health hospitals in Beijing were retrospectively analyzed. Demographic characteristics and pregnancy history, pregnancy complications and de- livery outcomes were obtained from medical records and patient interview during postnatal hospitalization. Results Women who lived in towns and cities, had a balanced diet and had a record of prenatal care were less likely to have preterm birth. Less education, stressful life events, sexual activity, placenta previa, gestational diabetes mellitus, hypertensive disorder complicating pregnancy, history of preterm birth, premature rupture of membrane were inde- pendent risk factors. Conclusion Actions on preterm prevention should be fully considered, including factors as personal characteristic, family support, medical institutions and so on.

关 键 词：早产 影响因素 病例对照研究 

分 类 号：R714.21[医药卫生—妇产科学]