昆山市2001年-2009年早产儿流行病学分析  

Epidemiological analysis of preterm delivery in Kunshan

作　　者：毛圆圆[1] 胡文斌[2] 刘琴[1] 刘丽[1] 黎渊明[1] 杨丹丹[1] 

机构地区：[1]昆山市第一人民医院妇产科,江苏省215300 [2]昆山市疾病预防控制中心

出　　处：《江苏医药》2014年第13期1562-1565,共4页Jiangsu Medical Journal

摘　　要：目的探讨昆山地区早产儿发生率及其影响因素。方法以2001年-2009年江苏省昆山市围产保健监测系统登记的33 629例孕产妇及单胎活产儿为研究对象,足月产胎儿为对照,分析早产儿发生的影响因素。结果早产儿总发生率为3.02%,随着时间的推移,其发生率有下降趋势(P<0.05)。在调整潜在混杂因素之后,非条件Logistic回归分析显示,产妇受教育年限>10年(OR=0.81,95%CI=0.68-0.95)、有怀孕史(OR=0.87,95%CI=0.76-0.99)、人工流产史(1次)(OR=0.79,95%CI=0.69-0.91)等与早产儿风险减小有关联。产妇分娩年龄<22岁(POR=1.22,95%CI=1.01-1.46)、初次产检时超重肥胖(POR=1.30,95%CI=1.06-1.60)、经产妇(POR=1.26,95%CI=1.01-1.57)、男性胎儿(POR=1.50,95%CI=1.32-1.71)与早产儿出生风险增加有关联。结论产妇人口学特征、生殖相关史和胎儿性别等因素影响早产儿发生风险。Objective To investigate the incidence of preterm delivery from 2001to 2009in Kunshan area of Jiangsu,China and analyze the factors associated with preterm delivery.Methods Data of 33629women with delivered singleton live birth（group A）were retrospectively analyzed,which were registered by perinatal monitoring system in Kunshan,from 2001to 2009.Taking the fullterm fetus as the control,the factors associated with preterm delivery were analyzed.Results The overall rate of preterm delivery was 3.0% in the study intervals.After adjustment for potential confounders,maternal education more than 10years（OR=0.81,95%CI=0.68-0.95）,previous pregnancy history（OR=0.87,95%CI=0.76-0.99）,having one induced abortion（OR=0.79,95%CI=0.69-0.91）were the factors for decreased risk of preterm delivery.While maternal age in delivery less than 22years old（POR=1.22,95%CI=1.01-1.46）,pre-pregnancy BMI more than 23kg/m2（POR=1.30,95%CI=1.06-1.60）,multipara（POR=1.26,95%CI=1.01-1.57）,and male neonatal（POR=1.50,95%CI=1.32-1.71）were the factors for increased risk of preterm delivery.Conclusion Maternal demographic characteristics,pregnancy and delivery history,and fetus gender are associated with the risk of preterm delivery.

关 键 词：早产儿 

分 类 号：R714[医药卫生—妇产科学]