高危妊娠孕妇不良妊娠结局影响因素分析  

Analysis of influencing factors of the adverse pregnancy outcomes of high-risk pregnant women

作　　者：张志敏 倪俊[2] 金玲[2] ZHANG Zhimin;NI Jun;JIN Ling(Beijing Normal University Hospital,Beijing,100875;Beijing Haidian Hospital,Haidian Branch of Peking University Third Hospital)

机构地区：[1]北京师范大学医院,100875 [2]北京市海淀医院,北京大学第三医院海淀院区

出　　处：《中国计划生育学杂志》2023年第2期448-450,共3页Chinese Journal of Family Planning

基　　金：吴阶平医学基金(320.6750.18460);北京市海淀医院、北京大学第三医院海淀院区面上项目(KYM2015005)。

摘　　要：目的:分析高危妊娠孕产妇不良妊娠结局相关影响因素。方法:回顾性收集2013年1月-2020年12月在本院建立《母子健康手册》的孕产妇1227例临床资料,建立《母子健康手册》时根据北京市孕期高危因素初筛表分为初筛高危组、低危组,统计两组一般临床资料及妊娠结局,分析高危妊娠孕产妇发生不良妊娠结局的危险因素。结果:高危组早产(5.9%)、胎儿不良结局(23.8%)和难产(19.8%)发生率高于低危组(2.5%、18.3%、16.9%);高危组中发生不良妊娠结局者年龄(37.1±0.8岁)、孕前体质指数(25.4±0.4 kg/m2)均高于非不良妊娠结局者(30.2±0.6岁、22.3±0.1kg/m2)(均P<0.05);多因素logistic回归分析,孕妇年龄≥35岁、孕前BMI异常是高危孕妇发生不良妊娠结局的独立性危险因素(P<0.05)。结论:年龄≥35岁、孕前BMI异常是高危妊娠孕妇发生不良妊娠结局的独立危险因素。Objective: To i analyze the related influencing factors of the adverse pregnancy outcomes of high-risk pregnant women. Methods: The clinical data of 1227 pregnant women who had established their "Mother and Child Health Handbook" from January 2013 to December 2020 were collected retrospectively. These women were divided into group A(women with high-risk pregnancy) and group B(women without high-risk pregnancy) according to the screening table of high-risk factors of pregnancy in Beijing when their "Mother and Child Health Handbook" was established. The general clinical data and the pregnancy outcomes of the women in the two groups were statistics analyzed. The risk factors of the adverse pregnancy outcomes of the women in group A were analyzed. Results: The rates of premature delivery(5.9%), adverse fetal outcomes(23.8%), and dystocia(21.4%) of the women in group A were significantly higher than those(2.5%, 18.3%, and 16.9%) of the women in group B. In group A, the age(39.1±0.8 years old) and the pre-pregnancy body mass index(BMI)(24.4±0.4 kg/m~2) of the women with adverse pregnancy outcomes were significantly higher than those(34.2±0.6 years old and 22.3±0.1kg/m~2) of the women without adverse pregnancy outcomes(all P<0.05). Multivariate logistic regression analysis showed that the age ≥35 years old and the abnormal pre-pregnancy BMI of the high-risk pregnant women were the independent risk factors of their adverse pregnancy outcomes(P<0.05). Conclusion: The age ≥35 years old and the abnormal pre-pregnancy BMI y of the high-risk pregnant women are the independent risk factors of their adverse pregnancy outcomes.

关 键 词：高危妊娠 不良妊娠结局 危险因素 干预措施 

分 类 号：R714[医药卫生—妇产科学]