复发性流产妊娠结局的相关因素分析  

The related factors analysis of pregnancy outcome for recurrent spontaneous abortion

作　　者：胡青萍 戚潜辉[2] 

机构地区：[1]广东省电白县计划生育服务站,广东电白525400 [2]广州医学院第二附属医院妇产科,广州510260

出　　处：《中国当代医药》2015年第13期104-106,共3页China Modern Medicine

基　　金：广东省人口和计划生育委员会科研项目(2012270)

摘　　要：目的：研究复发性流产（RSA）妊娠结局的相关因素。方法回顾性分析2012年3月-2014年2月在本站与广州医学院第二附属医院就诊的120例RSA妊娠患者的临床资料，统计并分析RSA妊娠结局的相关因素。结果120例RSA患者中27例妊娠失败，失败率为22.50豫；年龄、就诊时孕周、HOMA-IR、孕前有调理、流产次数〉3次、内分泌异常、抗精子抗体阳性、抗心磷脂抗体阳性等对妊娠结局有重要影响（P〈0.05）；年龄、就诊时孕周、抗心磷脂抗体阳性为妊娠结局失败的独立危险因素（P〈0.05）。结论控制RSA妊娠结局的相关因素，尤其是妊娠结局失败的独立危险因素，可有效降低妊娠结局的失败率。Objective To study the related factors of pregnancy outcome For recurrent spontaneous abortion （RSA）. Methods Clinical data of 120 cases with RSA pregnancy treated in our station and the Second Affiliated Hospital of Guangzhou Medical College from March 2012 to February 2014 were retrospectively analyzed.Related factors of preg-nancy outcome for RSA were statistically analyzed. Results 27 cases with pregnancy failure in 120 patients with RSA and the failure rate was 22.50%.Age,gestational age when seeing a doctor,HOMA-IR ,nursing one’s health before preg-nancy,the number of abortion 〉3 times,endocrine abnormality,positive antisperm antibody and positive anticardiolipin antibody and so on had significant impact on pregnancy outcome （P〈0.05）,while age,gestational age when seeing a doc-tor, positive anticardiolipin antibody were the independent risk factors for failure of pregnancy outcome （P〈0.05）. Con-clusion Controlling related factors of pregnancy outcome for RSA,especially the independent risk factors for failure of pregnancy outcome can effectively reduce the failure rate of pregnancy outcome.

关 键 词：复发性流产 妊娠结局 因素分析 

分 类 号：R714.21[医药卫生—妇产科学]