496例胎膜早破的危险因素分析  

Analysis of Risk Factors in 496 cases of Premature Rupture of Membranes

作　　者：郑晓明[1] 廖少玲[2] 颜露春[2] 

机构地区：[1]广东医学院,湛江524023 [2]广东医学院附属医院

出　　处：《数理医药学杂志》2013年第2期165-168,共4页Journal of Mathematical Medicine

摘　　要：目的:探讨胎膜早破发病相关的危险因素,为预防胎膜早破的发生提供参考。方法:回顾性分析2011年7月～2012年6月在湛江某两家综合医院住院分娩的496例胎膜早破产妇,另选择同期住院无胎膜早破的产妇506例作为对照组,比较两组产妇的基本情况、疾病史、生活习惯、社会因素等可能引起胎膜早破的危险因素,对其进行单因素分析及非条件Logistic回归分析。结果:胎膜早破的危险因素主要是感染、前置胎盘、子宫肌瘤、多胎、饮食不均衡、心理社会因素等。结论:胎膜早破是多因素综合的结果,应针对危险因素做好相应控制措施以减少胎膜早破及相关并发症的发生。Objective： To analyze the risk factors for premature rupture of membranes by using Logistic regression analysis,to provide reference for the prevention of premature rupture of membranes.Methods： A retrospective analysis in the 496 puerpera with premature rupture of membranes who gave birth in two Zhanjiang hospitals during July 2011 to June 2012 was made,and 506 cases of the puerpera without premature rupture of membranes who gave birth in these two hospitals during this period were randomly selected as the control group.To sort out the risk factors,the two groups of puerpera were compared with the basic situation,disease history,habits and customs,social factors that may cause fetal membranes rupture of the risk factors,and the single factor analysis and non-conditional Logistic regression analysis were carried out.Results： The main risk factors for premature rupture of membranes included infection,placenta praevia,uterine fibroids,multiplet,disproportion diet and psychosocial factor（P0.05）.Conclusion： Preterm delivery was caused by many complicated factors.Comprehensive measures should be taken to reduce possibility of premature rupture of membranes.

关 键 词：胎膜早破 危险因素 LOGISTIC回归分析 

分 类 号：R714.431.3[医药卫生—妇产科学]