高龄产妇发生前置胎盘的影响因素分析  

Analysis of influencing factors of placenta previa in elderly women

作　　者：熊颖 熊雪莲[1] 邹琴燕[1] XIONG Ying;XIONG Xuelian;ZOU Qinyan(Jiangxi Maternal and Child Health Hospital,Nanchang,330006,China)

机构地区：[1]江西省妇幼保健院产科,江西省南昌市330006

出　　处：《护理实践与研究》2023年第4期508-512,共5页Nursing Practice and Research

基　　金：江西省卫生健康委科技计划项目(编号:20203645)。

摘　　要：目的 探讨高龄产妇发生前置胎盘的影响因素。方法 选取2019年6月—2021年11月江西省妇幼保健院产科高龄产妇140例为调查对象,收集高龄产妇年龄、体质指数(BMI)、分娩史、流产史、胎次、文化水平、户口所在地、瘢痕子宫、盆腔炎、孕期并发症等临床资料,对高龄产妇前置胎盘发生影响因素进行单因素、多因素Logistic回归分析。结果 140例高龄产妇中26例发生前置胎盘。单因素分析显示,分娩史、胎次、瘢痕子宫及孕期并发症是高龄产妇发生前置胎盘的相关因素(P<0.05)。多因素Logistic回归分析显示,有分娩史、有瘢痕子宫、有孕期并发症是高龄产妇前置胎盘发生的影响因素(P<0.05)。结论 高龄产妇前置胎盘发生影响因素较多,根据不同患者的特点和影响因素进行针对性干预,加强孕妇管理,做到早筛查、早诊断、早治疗,减少高龄产妇前置胎盘发生。Objective To explore the influencing factors of placenta previa in elderly women. Methods To select 140 elderly obstetrical women in Jiangxi Maternal and Child Health Hospital from June 2019 to November 2021 were selected as the study subjects. The clinical data of age, body mass index(BMI), delivery history, abortion history, birth number, education level, residence location, scar uterus, pelvic inflammatory disease, pregnancy complications and other clinical data of elderly women were collected, and the infl uencing factors of placenta previa in the elderly women were analyzed by single factor and multiple factor Logistic regression. Results Placenta previa occurred in 26 of 140 elderly parturient women. Univariate analysis showed that the related factors of placenta previa in elderly women were delivery history, birth number, scar uterus and pregnancy complications(P<0.05). Multivariate Logistic regression analysis showed that the infl uencing factors of placenta previa in elderly women were history of delivery, scar uterus and pregnancy complications(P<0.05).Conclusion There were many factors af fecting the occurrence of placenta previa in elderly women. According to the characteristics and infl uencing factors of dif ferent patients, targeted intervention should be carried out to strengthen the management of pregnant women, achieve early screening, early diagnosis and early treatment, and reduce the occurrence of placenta previa in elderly women.

关 键 词：高龄产妇 前置胎盘 影响因素 妊娠结局 针对性干预 

分 类 号：R473.71[医药卫生—护理学]