乌鲁木齐免费体检不良妊娠结局与孕前危险因素暴露关系研究  

A Study on the Relationship between the Risk Factors and Adverse Pregnancy Outcomes by Free Progestational Medical Examination in Urumqi

作　　者：龙春燕[1] 邵红[1] 周燕 王婷婷[1] 于文中 杨婷 单湘婷 

机构地区：[1]新疆医科大学公共卫生学院,乌鲁木齐830054 [2]乌鲁木齐市计划生育宣传技术指导所,新疆乌鲁木齐830000

出　　处：《新疆医学》2015年第10期1404-1406,1403,共4页Xinjiang Medical Journal

基　　金：国家人口计生委;财政部项目(国人口发〔2011〕29号)

摘　　要：目的探讨不良妊娠结局的影响因素,为孕前优生预防不良妊娠结局提供依据。方法采用回顾性研究方法对乌鲁木齐市2013年3月至2015年3月参加国家免费孕前健康检查有妊娠结局的310对夫妇进行调查,相关因素进行Logistic回归分析。结果调查310对孕产妇不良妊娠结局的发生率为11.6%,多因素非条件logistic回归分析结果显示:不良妊娠结局的发生与孕前服药史OR值为12.83(95%CI2.24-73.52)、高龄妊娠OR值为8.38(95%CI1.609-42.99)、既往不良妊娠史OR值为6.356(95%CI1.887-21.41)呈正相关,P值均<0.05具有统计学意义。结论高龄妊娠、孕前服药史、既往不良妊娠史为不良妊娠结局的危险因素,可以通过有效的治疗和健康教育为计划怀孕夫妇提供规范指导。Objective To investigate the risk factors caused by adverse pregnancy outcome and lay a basis for the advanced prevention of the adverse pregnancy outcome.Methods The method of cluster random sampling was applied to extract medical records of310 couples with the experience of free medical exam and the pregnancy outcome in Urumqi from March 2013 to March 2015.And the correlative analysis was used to analyze the related factors.Results the incidence of adverse pregnancy outcome of the 310 couples was11.66%.The multifactor unconditional logistic regression analysis indicated that the adverse pregnancy outcome was positively correlated with the progestational medication history,the advanced maternal age and the adverse pregnancy history.And their OR values are 12.83（95% CI2.24-73.52）,8.38（95% CI1.609-42.99）and 6.356（95% CI1.887-21.41） respectively,which are statistically significant.Conclusion The risk factors of the adverse pregnancy outcome consist of advanced maternal age,the progestational medication history,and the adverse pregnancy history.And the effective medical treatment and health education can be applied as the guidance for those couples with intention of pregnancy.

关 键 词：孕前体检 危险因素 不良妊娠结局 

分 类 号：R71[医药卫生—妇产科学]