以《内经》生殖分期区分不同年龄段的围生期保健情况  

A retrospective analysis of perinatal care for different age women based on reproductive period of Neijing

作　　者：张旸旸 宋同勋 贾彤[2] 

机构地区：[1]山东省胶州市妇幼保健院,山东胶州266300 [2]江苏省太仓市妇幼保健所,江苏太仓215400

出　　处：《中医临床研究》2017年第19期36-38,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:了解以《内经》生殖分期区分不同年龄段的围生期保健情况。方法:以《内经》生殖分期将2010年10月1日-2013年12月31日在辖区内分娩的产妇21971例分为<21岁、21~27岁、28~34岁及≥35岁共4组,通过妇幼保健服务使用(系统产检、剖宫产使用、出生医学证明开具、产后42d检查及儿童体检)和孕产情况(出生缺陷、死胎死产、早产、低体重儿和巨大儿)来了解各组围生期保健情况。结果:单胎产妇中,与21~27岁组相较,<21岁组、28~34岁组和≥35岁组的死胎死产OR(95%CI)分别为1.467(1.188,1.812)、0.889(0.401,1.969)和4.313(2.018,9.216);早产OR(95%CI)分别为1.467(1.188,1.812)、1.247(1.052,1.479)和1.512(1.141,2.004);低体重儿OR(95%CI)分别为1.464(1.154,1.858)、0.996(0.806,1.231)和1.429(1.023,1.996);巨大儿OR(95%CI)分别为0.780(0.660,0.921)、1.236(1.130,1.413)和1.423(1.199,1.688)。与21~27岁组相较,<21岁组、28~34岁组和≥35岁组中未系统产检OR(95%CI)分别为1.905(1.721,2.108)、1.491(1.368,1.625)和2.173(1.942,2.433);剖宫产使用OR(95%CI)分别为0.810(0.765,0.857)、1.172(1.134,1.210)和1.128(1.067,1.193);未开出生证OR(95%CI)分别为1.521(1.280,1.806)、1.246(1.083,1.434)和1.872(1.535,2.283);无产后42d体检OR(95%CI)分别为1.558(1.482,1.637)、1.237(1.181,1.292)和1.499(1.408,1.595);未参加儿童体检的OR(95%CI)分别为1.894(1.746,2.055)、1.389(1.292,1.493)和2.005(1.823,2.205)。结论:《内经》生殖分期在妇女保健中至今仍有重要指导意义,21~27岁是适合孕育的最佳年龄段。Objective:To investigate the situation of perinatal care for different age women based on reproductive period of Neijing.Methods:21971women who had labored in the area under administration from Oct.1st,2010to Dec.31st,2013were collected and groupedinto<21,21~27,28~34and≥35according to age based on reproductive period of Neijing.The situations of health care,including systemicexamination,cesarean delivery,birth medical certificate registered,postpartum42day examination and children routine examination,andpregnancy outcomes,including birth defect,fetal death,stillbirth,premature deliver,low birth weight and macrosomia)were analyzed.Results:Compared with20~27,OR(95%CI)of stillbirth,premature delivery,low birth weight and macrosomia in<21,27~34and≥35in single pregnant women respectively was1.467(1.188,1.812),0.889(0.401,1.969)and4.313(2.018,9.216);1.467(1.188,1.812),1.247(1.052,1.479)and1.512(1.141,2.004);1.464(1.154,1.858),0.996(0.806,1.231)and1.429(1.023,1.996);0.780(0.660,0.921),1.236(1.130,1.413)and1.423(1.199,1.688).Compared with21~27,OR(95%CI)of systemic examination missed,cesarean used,BMEC missed,postpaid42day examination missed and children routine examination missed in<21,28~34and≥35respectively was1.905(1.721,2.108),1.491(1.368,1.625)and2.173(1.942,2.433);0.810(0.765,0.857),1.172(1.134,1.210)and1.128(1.067,1.193);1.521(1.280,1.806),1.246(1.083,1.434)and1.872(1.535,2.283);1.558(1.482,1.637),1.237(1.181,1.292)and1.499(1.408,1.595);1.894(1.746,2.055),1.389(1.292,1.493)and2.005(1.823,2.205).Conclusion:21~27age is most appropriate period for pregnancy.The reproductive period is used forwomen's health hitherto.

关 键 词：年龄 《内经》 生殖节律 围生期保健 保健服务 

分 类 号：R339.2[医药卫生—人体生理学]