异位妊娠发病的相关危险因素分析  

Analysis of risk factors related to ectopic gestation morbidity

作　　者：杨雅琦[1] 王宜[1] 拓福娟 朱芳芳[1] 

机构地区：[1]陕西省延安市人民医院妇科,陕西延安716000

出　　处：《中国医药导报》2016年第8期88-91,共4页China Medical Herald

摘　　要：目的探讨异位妊娠发病相关危险因素情况。方法将2013年9月～2015年9月陕西省延安市人民医院收治的100例异位妊娠患者作为异位妊娠组，同期正常妊娠妇女200例作为对照组．观察不同吸烟史、月经紊乱史、子宫肌瘤、流产史、盆腔炎史等孕妇异位妊娠发生情况；采用Logistic回归模型进行异位妊娠的危险因素分析。结果两组研究对象吸烟史、月经紊乱史、子宫肌瘤、流产史者所占比例及年龄比较差异均无统计学意义（P〉0．05）；异位妊娠组盆腔炎史（30．0％）、下腹部手术史（33．0％）、异位妊娠史（10．0％）者所占比例均高于对照组（6．0％、12．0％、0．5％），差异均有统计学意义（χ2=15．16、9．01、6．47，均P〈0．05）。Logistic回归分析结果显示，盆腔炎史（OR=1．047，95％CI：1．131-1．016，P=0．016）、下腹部手术史（OR=1．039．95％CI：1．096～1．025，P=1．039）及异位妊娠史（OR=1．062，95％CI：1．194-0．998。P=0．025）均是异位妊娠发生的危险因素。结论盆腔炎史、下腹部手术史、异位妊娠史是异位妊娠发生的独立风险因素，为预防异位妊娠发生提供可靠的理论依据。Objective To approach related risk factor of ectopic gestation morbidity. Methods The 100 cases ectopic gestation patients in the People＇s Hospital of Yanan City from September 2013 to September 2015 were selected as ec- topic gestation group, then the 200 cases women with normal pregnant in the same period were selected as control group. The occurrence of heterotopic pregnancy in women with different history of smoking, history of menstrual disor- ders, uterine fibroid, history of abortion, and history of pelvic inflammatory disease, and so on was observed; risk factors of ectopic pregnancy were analyzed by Logistic regression model. Results The proportions of women with history of smoking, menstrual disorders, uterine fibroid, history of abortion in the two groups had no statistically significant differ- ence （P 〉 0.05）; the proportions of women with the history of pelvic inflammatory disease （30.0%）, history of lower ab- dominal surgery （33.0%）, history of ectopic pregnancy （10.0%） were higher than those of the control group （6.0%, 12.0%, 0.5%）, the differences were statistically significant （χ2 = 15.16, 9.01, 6.47, all P 〈 0.05）; Logistic regression analysis showed that, the history of pelvic inflammatory disease （OR = 1.047, 95%CI： 1.131-1.016, P = 0.016）, history of lower abdominal surgery （OR = 1.039, 95%CI： 1.096-1.025, P = 1.039）, history of ectopic pregnancy （OR = 1.062, 95%CI： 1.194-0.998, P = 0.025） were the risk factors of ectopic gestation. Conclusion The history of pelvic inflammatory dis- ease, history of lower abdominal surgery, history of ectopic pregnancy are independent risk factors of ectopic gestation, which can provide reliable theory basis in prevention of ectopic pregnancy.

关 键 词：异位妊娠 发病 相关危险因素 LOGISTIC回归分析 

分 类 号：R714.22[医药卫生—妇产科学]