高龄产妇不良妊娠结局200例影响因素分析  

Analysis of the influencing factors of adverse pregnancy outcome in 200 elderly pregnant women

作　　者：咸保花 陈建梅[2] XIAN Bao-hua;CHEN Jian-mei(Department of Gynecology,Donggang District Maternal and Child Health Hospital,Rizhao Shandong 276800;Department of Gynecology,People′s Hospital of Rizhao,Rizhao Shandong 276827,China)

机构地区：[1]山东省日照市东港区妇幼保健院妇科,276800 [2]山东省日照市人民医院妇科,276827

出　　处：《蚌埠医学院学报》2020年第6期792-794,798,共4页Journal of Bengbu Medical College

摘　　要：目的:分析200例高龄产妇不良妊娠结局的影响因素。方法:选取200例高龄产妇,收集产妇的妊娠结局,统计不良妊娠结局发生情况,并分析影响高龄产妇发生不良妊娠结局的因素。结果:200例高龄产妇的不良妊娠结局发生率为19.00%,依次为低体质量儿(31.58%)、早产儿(26.32%)、新生儿窒息(15.79%)、巨大儿(15.79%)、新生儿畸形(5.26%)、新生儿死亡(5.26%);影响高龄产妇不良妊娠结局的单因素包括流产史、不良妊娠习惯、计划怀孕、妊娠合并症、妊娠并发症、被动吸烟、多胎妊娠以及孕前疾病史(P<0.05~P<0.01);logistic回归多因素分析表明,流产史、妊娠合并症、妊娠并发症、被动吸烟、多胎妊娠、孕前疾病史均是高龄产妇不良妊娠结局的危险因素(P<0.05~P<0.01)。结论:高龄产妇的不良妊娠结局发生率较高,流产史、妊娠合并症、妊娠并发症、被动吸烟、多胎妊娠、孕前疾病史均是高龄产妇不良妊娠结局的危险因素。Objective:To analyze the influencing factors of adverse pregnancy outcomes in 200 elderly pregnant women.Methods:The pregnancy outcomes data of 200 elderly pregnant women were collected,the occurrence of adverse pregnancy outcomes was statistically analyzed,and the influencing factors of adverse pregnancy outcomes of elderly pregnant women were analyzed.Results:The incidence rate of adverse pregnancy outcomes in 200 elderly pregnant women was 19.00%,followed by low birth weight infants(31.58%),preterm infants(26.32%),neonatal asphyxia(15.79%),macrosomia(15.79%),neonatal malformations(5.26%)and neonatal death(5.26%).The history of miscarriage,adverse pregnancy habits,planned pregnancy,pregnancy complications,pregnancy complications,passive smoking,multiple pregnancy and disease history before pregnancy were the single factor of affecting adverse pregnancy outcomes in elderly pregnant women(P<0.05 to P<0.01).The results of multivariate logistic regression analysis showed that the abortion history,pregnancy complications,pregnancy complications,passive smoking,multiple pregnancies,and pre-pregnancy disease history were the risk factors of adverse pregnancy outcomes in elderly pregnant women(P<0.05 to P<0.01).Conclusions:The incidence rate of adverse pregnancy outcomes in elderly pregnant women is high.The history of abortion,pregnancy complications,passive smoking,multiple pregnancies,and pre-pregnancy disease history are the risk factors of adverse pregnancy outcomes in elderly pregnant women.

关 键 词：不良妊娠结局 高龄产妇 影响因素 

分 类 号：R714.1[医药卫生—妇产科学]