深圳市864例异位妊娠相关危险因素的分析  

Risk factors of ectopic pregnancy in 864 cases in Shenzhen

作　　者：王红[1] 王月云[1] 刘红蕾[1] 刘卫华[1] 

机构地区：[1]深圳市妇幼保健院,广东深圳518028

出　　处：《中国妇幼健康研究》2015年第1期32-34,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨深圳市异位妊娠相关危险因素。方法对2012年12月至2013年5月于深圳市各级医疗保健机构妇产科病区确诊为异位妊娠的864例患者的,以规范统一的调查表收集其基本情况、孕产情况、既往史、家族史、生活习惯、心理行为因素及有关实验室指标等。结果异位妊娠组既往孕≥2次、产>2次、剖宫产史、人流史、盆腔炎史、生殖道感染史、腹部手术史、吸烟和被动吸烟均较对照组显著升高(x^2值分别为8.317、15.837、6.045、23.315、35.906、10.550、36.358、4.407、9.489,均P<0.05),两组职业类别分布、避孕措施构成方面有统计学差异(x^2值分别为22.923、18.364,均P<0.05)。异位妊娠组睡眠时长、工作或生活压力、情绪状态与对照组有显著性差异(x^2值分别为9.483、17.260、14.556,均P<0.05)。多因素回归分析发现,人流史、盆腔炎史、生殖道感染史是异位妊娠的独立危险因素(OR值分别为1.455、1.133、1.698,均P<0.05)。结论人流史、盆腔炎史、生殖道感染史是异位妊娠的独立危险因素,应加强广大妇女尤其是青少年女性的生殖健康教育,以降低异位妊娠发病率。Objective To explore the relative risk factors of ectopic pregnancy （EP） in Shenzhen. Methods A total of 864 patients with EP diagnosed in health care centers in Shenzhen during the period of December 2012 to May 2013 were investigated with standardized and unified scale to collect their basic information, history of pregnancy, personal medical history, family history, living style, psychological factors and relevant lab test indices. Results The number of cases with gravidity ≥2, parity ≥2, cesarean section history, induced abortion history, history of pelvic inflammatory disease, reproductive tract infection history, abdominal surgery history, smoking and passive smoking in case group were significantly higher than those in control group （χ^2 value was 8. 317, 15. 837, 6. 045, 23. 315, 35. 906, 10. 550, 36. 358, 4. 407, 9. 489, respectively, all P 〈 0.05 ） , and there were significant differences in professional category distribution and contraception between two groups （χ^2 value was 22. 923 and 18. 364, respectively, both P 〈 0.05 ）. There were significant differences in sleep duration, work or life stress and emotional state between two groups （χ^2 value was 9. 483, 17. 260 and 14. 556, respectively, all P 〈 0.05 ）. Multivariate regression analysis found that induced abortion history, history of pelvic inflammatory disease and reproductive tract infection were independent risk factors of EP （ OR value was 1. 455, 1. 133 and 1. 698, respectively, all P 〈 0. 05 ）. Conclusion Induced abortion history, history of pelvic inflammatory disease and reproductive tract infection are independent risk factors of EP. Reproductive health education should be strengthened for women, especially for female teenagers so as to reduce the incidence of EP.

关 键 词：异位妊娠 危险因素 多因素回归分析 预防 

分 类 号：R714.2[医药卫生—妇产科学]