胎儿畸形的影响因素分析  

Analysis of Influencing Factors of Fetal Malformations

作　　者：林丽[1] 高丽素[1] 许玫[1] 陈雪周[1] 付畅[1] 

机构地区：[1]福建省妇幼保健院产房,福建福州350001

出　　处：《中国卫生标准管理》2017年第18期1-3,共3页China Health Standard Management

摘　　要：目的探讨引起胎儿畸形结局的影响因素,分析这些因素的影响强度,为胎儿畸形的综合防治提供参考依据。方法采用1∶1匹配病例对照研究方法,分析胎儿畸形的影响因素。结果单因素分析结果显示:相较于胎儿正常组孕妇,胎儿畸形组孕妇的教育程度(大专及以上)、城镇居住和躲避烟雾的比例更低(P均<0.05),而胎儿畸形组孕妇的房屋装修、宠物喂养和异常生育史的比例高于胎儿正常组孕妇(P均<0.05);多因素条件Logistic回归分析结果表明:宠物喂养(OR=23.51)对胎儿畸形结局的影响强度最大。结论孕期及备孕期应避免宠物喂养,房屋新装修后应确保环境质量后方可入住,存在异常生育史的孕妇应做好产前预防及孕期检查诊断。Objective To explore the influencing factors of fetal malformations and to analyze the intensity of these factors, so it can provide reference for comprehensive prevention and treatment of fetal malformations. Methods A 11 matched case-control study was conducted to explore the infuencing factors of fetal malformations. Results Univariate analysis showed that compared to the fetal normal group of pregnant women, there was a lower proportion of education （college and above）, urban living and avoiding the smoke in the fetal malformation group of pregnant women （P 〈 0.05）. And there was a higher proportion of house decoration, pet feeding and abnormal fertility in the fetal malformation group （P 〈 0.05）. Multivariate conditional logistic regression analysis showed： pet feeding （OR = 23.51） was the greatest impact on the outcome of fetal malformations. Conclusion Pregnant and getting pregnant women should avoid pet feeding, housing renovation. Before moving into the new house, the quality of the environment should be guaranteed. The women who had the abnormal fertility of pregnant should do prenatal prevention and pregnancy diagnosis.

关 键 词：胎儿畸形 影响因素 对照研究 

分 类 号：R714[医药卫生—妇产科学]