影响早孕药物流产结局的因素分析  

作　　者：孙霞 王桂敏 

机构地区：[1]山东胶州市胶北镇计划生育服务中心,青岛266313 [2]胶州市妇幼保健院,青岛266300

出　　处：《中国社区医师（医学专业）》2013年第10期173-174,共2页

摘　　要：目的:分析早孕药物流产时不同结局的影响因素,并探讨相应的干预对策。方法:收治早孕药物流产患者205例,回顾一般情况如性别、年龄等,个人怀孕时子宫、胎芽情况等可能与流产相关的因素,流产不同结局的情况,分析与其相关的危险因素,采用单因素非条件Logis-tic回归分析。评价早孕药物流产时不同结局的影响因素。结果:停经天数(OR=1.769,95%CI1.420～2.115)、子宫位置(OR=6.447,95%CI1.826～22.769)、有无胚芽(OR=0.863,95%CI0.709～1.051)、孕次(OR=1.539,95%CI1.042～2.635)、合并慢性盆腔炎(OR=3.640,95%CI2.169～6.193)等是早孕药物流产时不同结局的影响因素。结论:停经天数≥50天、子宫后位、孕次>2次、合并慢性盆腔炎、有胚芽的孕妇应慎重选择药物流产。Objective:To analyze the different influence factors of the outcomes of early pregnancy by medical abortion,and investigate the corresponding intervention countermeasures.Methods:Retrospectively analyze the materials of early pregnancy patients by medical abortion from Jun.2006 to Dec.2011 in our hospital,take with single factor non-conditional Logistic regression analysis to analyze the risk factors associated with abortion,such as sex,age,personal pregnancy uterus,fetal bud,different abortion outcomes,et al.And the influence factors of different outcomes of early pregnancy by medical abortion were evaluated.Results:Amenorrhea days(OR=1.769,95%CI 1.420~2.115)、uterus position(OR=6.447,95%CI 1.826~22.769)、with or without germ(OR=0.863,95%CI 0.709~1.051)、gravidity times(OR=1.539 95%CI 1.042~2.635)、combined with chronic pelvic inflammatory diseases(OR=3.640,95%CI 2.169~6.193),et al,which were different influence factors of early pregnancy outcomes by medical abortion.Conclusion:Amenorrhea days≥50d、uterus at after position、gravidity times >2、combined with chronic pelvic inflammatory diseases、germ pregnancy women should carefully choose the medical abortion.

关 键 词：药物流产 早孕 影响因素 干预对策 

分 类 号：R445.1[医药卫生—影像医学与核医学]