2009~2010年太原市早产儿影响因素分析  被引量:3

Analysis on the Influencing Factors for Preterm Birth,Taiyuan City,2009-2010

在线阅读下载全文

作  者:薛小平[1] 苏兵[1] 

机构地区:[1]太原市疾病预防控制中心,山西太原030001

出  处:《预防医学论坛》2015年第6期408-411,共4页Preventive Medicine Tribune

摘  要:目的探讨太原市早产流行病学及环境危险因素,为有效预防早产的发生、制定相应干预措施及卫生决策提供科学依据。方法数据来源为2009年1月至2010年12月太原市出生监测数据,监测系统共报告出生个案56 628例,满足分析要求的出生个案为50 871例,占总数的89.83%,其中早产病例数为2 163例,对照组病例数为48 708例,应用Logistic回归模型估计危险因素暴露比数比(OR)。结果多元Logistic回归模型分析结果表明,产前检查每增加一次,早产危险性降低22%;依据调整后的OR值分析结果表明,产检医院等级(OR=2.46,省级医院与县级医院相比)、母亲患有慢性疾病(OR=2.28,与无慢性疾病母亲相比)、初检孕周≤3次(OR=2.18,与初检孕周〉3次相比)、和母亲职业(OR=2.00,医务人员与农民相比)对早产影响较大。其他具有统计学意义的影响因素还包括母亲居住地、母亲年龄、母亲文化程度、家庭收入、新生儿性别和妊次(这些因素的OR值范围为1.06-1.46)。本次研究初步探讨了燃煤取暖对早产的影响,结果表明:与集中供暖相比,燃煤取暖导致早产危险度升高25%(95%CI:1.11-1.42)。结论产前检查可以降低早产发生的危险性,而产科干预(辅助生产和重症监护)增加了早产儿的生存概率,由此导致早产率升高。Objective To identify the epidemiological and environmental risk factors for preterm birth in Taiyuan city,so as to provide scientific basis for developing measures and strategies for prevention of preterm birth. Methods Birth surveillance data on 50 871births(2 163 cases and 48 708controls)from January 2009 to December 2010 were analyzed using a logistic regression model. Results For each unit increase in number of prenatal visits the risk of preterm birth reduced by 22%.Adjusted ORs showed that provincial level of facility(OR =2.46),maternal chronic disorders(OR =2.28),prenatal care begun at 3 weeks of gestation or earlier(OR =2.18)and maternal occupation(OR =2.00 for medical workers)carried the highest estimated risks for preterm birth.Other significant risk factors included residency,maternal age,maternal education,family income,and infant gender,the estimated ORs ranged from 1.06 to 1.46.In addition,coal stove heating was found associated with a 25%increase in ORof preterm birth(95%CI :1.11-1.42). Conclusion The prenatal care reduces the risk of having preterm birth,while obstetrical intervention increases the survivorship of preterm newborns,causing the increased proportion of preterm birth among live births.

关 键 词:早产 影响因素 出生监测 

分 类 号:R174[医药卫生—妇幼卫生保健]

 

参考文献:

正在载入数据...

 

二级参考文献:

正在载入数据...

 

耦合文献:

正在载入数据...

 

引证文献:

正在载入数据...

 

二级引证文献:

正在载入数据...

 

同被引文献:

正在载入数据...

 

相关期刊文献:

正在载入数据...

相关的主题
相关的作者对象
相关的机构对象