孕妇年龄与妊娠高危因素及妊娠结局的关系  

Correlation of maternal age with pregnancy risk factors and pregnancy outcome

作　　者：冯富丽 FENG Fu-li(Department of Gynaecology,Changying Community Health Service Center of Chaoyang District,Beijing 100024,China)

机构地区：[1]北京市朝阳区常营社区卫生服务中心妇科,100024

出　　处：《中国实用医药》2023年第7期48-51,共4页China Practical Medicine

摘　　要：目的分析孕妇年龄对妊娠高危因素及妊娠结局的影响。方法选取在本辖区内进行分娩的3476例产妇为临床观察对象,根据产妇年龄不同分为四组:A组(年龄≤24岁,150例),B组(年龄25~29岁,1209例),C组(年龄30~34岁,1427例),D组(年龄≥35岁,690例)。统计分析不同年龄产妇的妊娠合并症发生情况、并发症发生情况、妊娠不良孕产史、辅助生殖助孕妊娠情况、分娩方式及围生儿出生情况;同时,设置B组为参照组(OR=1),进行二元Logistic回归分析,探究产妇年龄与妊娠合并症、并发症及分娩方式、围生儿出生情况的关系。结果通过二元Logistic回归分析结果显示:高龄是不良妊娠史、辅助生殖助孕妊娠、子宫肌瘤、甲状腺功能异常、妊娠期糖尿病、瘢痕子宫、羊水过多、前置胎盘、多胎妊娠、子痫前期、产后出血、剖宫产、巨大儿、低体质量儿、早产儿发生的高危因素(P<0.05,OR>1)。结论针对不同年龄阶段的孕妇,要针对性实施围生期检查以及相关的保健工作,积极提高对高危孕妇的护理保健干预,并积极为其治疗相关合并症,规避并发症,同时选择合适的分娩方式,以确保母婴健康。Objective To analyze the impact of maternal age on pregnancy risk factors and pregnancy outcome.Methods A total of 3476 pregnant women who delivered in this area were selected as clinical observation subjects,and were divided into four groups according to their age:group A(≤24 years of age,150 cases),group B(25-29 years of age,1209 cases),group C(30-34 years of age,1427 cases),and group D(≥35 years of age,690 cases).The occurrence of pregnancy comorbidities and complications,and adverse pregnancy outcome,assisted reproduction and pregnancy,mode of delivery,and neonatal outcome were statistically analyzed.Meanwhile,group B was set as the reference group(OR=1)and a binary Logistic regression analysis was performed to investigate the correlation between maternal age and pregnancy comorbidities,complications,mode of delivery,neonatal outcome.Results Binary Logistic regression analysis showed that advanced age was a high risk factor for the occurrence of adverse pregnancy outcome,assisted reproduction and pregnancy,uterine fibroids,abnormal thyroid function,gestational diabetes mellitus,scarred uterus,polyhydramnios,placenta praevia,multiple pregnancies,preeclampsia,postpartum hemorrhage,cesarean section,macrosomia,low body mass infants,and prematurity(P<0.05,OR>1).Conclusion For pregnant women at different ages,it is important to provide targeted perinatal examinations and related health care work,actively improve nursing and health care interventions for high-risk pregnant women,and actively treat related comorbidities and avoid complications.At the same time,appropriate delivery methods should be selected to ensure maternal and child health.

关 键 词：孕妇年龄 妊娠高危因素 妊娠结局 关系分析 

分 类 号：R714[医药卫生—妇产科学]