孕妇发生早期稽留流产的相关因素及预防措施研究  

Related factors of early missed abortion in pregnant women and preventive measure

作　　者：郤书颖 谭庆[2] 路云霞 

机构地区：[1]北京中医医院延庆医院妇科,北京102100 [2]首都医科大学附属北京中医医院妇科,北京100010 [3]北京市延庆区医院妇产科,北京102100

出　　处：《中国现代医学杂志》2016年第22期128-132,共5页China Journal of Modern Medicine

摘　　要：目的探讨孕妇发生早期稽留流产的相关因素,为其预防提供依据。方法选取2007年10月-2015年10月在北京中医医院延庆医院门诊诊断为212例早期稽留流产孕妇作为研究对象,归为观察组,根据1∶1配对原则,选取同期在本院进行孕检的212例正常孕妇作为对照组。调查并比较两组的基线资料、生活环境及习惯,采用多因素Logistic回归分析筛选出早期稽留流产的危险因素。结果两组在男方年龄、孕检、对保健知识的了解程度、孕妇职业铅暴露、丈夫职业铅暴露、主动吸烟、每周平均被动吸烟时间、每周手机通话时间、每天用电脑的时间、生活场所附近的高电磁设备、家与马路的距离、孕期室内装潢等方面比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果表明男方年龄、孕妇职业铅暴露、每周平均被动吸烟时间、孕期室内装潢是孕妇发生早期自然流产的独立危险因素(P<0.05)。结论男方年龄较大、孕妇职业铅暴露、被动吸烟的时间较长、孕期有家庭装潢史可显著增加孕妇早期稽留流产的发生风险,应据此进行积极的预防。Objective To investigate the related factors of early missed abortion in pregnant women so as to provide basis for its prevention. Methods Totally 212 pregnant women with early missed abortion from October 2007 to October 2015 were enrolled in the study and classified as observation group. In accordance with 1 ： 1 matching principle, 212 normal pregnant women undergoing pregnancy test over the same period were selected and classified as control group. The general information, living environment and habits were investigated and compared between the two groups. Multiple logistic regression analysis was performed to screen out the risk factors of early missed abortion. Results There were statistically significant differences in the age of the husbands, pregnancy test, the degree of understanding of health knowledge, occupational lead exposure of pregnant women and their husbands, smoking, average passive smoking time in a week, phone calling time in a week, time of using computer in a day, the high electromagnetic equipment near living place, the distance between home and road, indoor decoration duringpregnancy between the two groups （ P〈 0.05）. Multiple logistic regression analysis showed that the age of husbands, occupational lead exposure of pregnant women, average passive smoking time in a week, and indoor decoration were the independent risk factors of early abortion （ P〈 0.05）. Conclusions Elder men, long time of passive smoking, occupational lead exposure of pregnant women, and long duration of decoration odor and indoor decoration during pregnancy could significantly increase the risk of early missed abortion in pregnant women, which should be positively prevented.

关 键 词：稽留流产 孕妇 影响因素 

分 类 号：R714.21[医药卫生—妇产科学]