2016—2021年成都市某三甲妇产儿童医院产妇年龄及妊娠并发症变化趋势  

Variation trend of maternal age and pregnancy complications in a third grade obstetrics and gynecology and children′s hospital of Chengdu from 2016 to 2021

作　　者：郑思思 余莉[1] 唐雨欣 李吉杰 叶强华[1] 李黎[1] 帅欣雨 杨腊梅 ZHENG Sisi;YU Li;TANG Yuxin;LI Jijie;YE Qianghua;LI Li;SHUAI Xinyu;YANG Lamei(Medical Records Management Department of West China Second University Hospital of Sichuan University/Key Laboratory of Birth Defects and Related Diseases of Women and Children,Ministry of Education,Chengdu 610041,Sichuan Province,China.)

机构地区：[1]四川大学华西第二医院病案管理部/出生缺陷及相关妇儿疾病教育部重点实验室,成都610041

出　　处：《职业卫生与病伤》2023年第3期131-136,共6页Occupational Health and Damage

基　　金：四川大学华西第二医院临床科研基金(项目编号:KL030)。

摘　　要：目的分析成都市某三甲妇产儿童医院产妇年龄及妊娠并发症变化趋势,为进一步预防妊娠并发症提供参考。方法对2016年1月1日至2021年12月31日在成都市某三甲妇产儿童医院住院分娩产妇的年龄、产次、分娩方式、妊娠并发症基本信息进行回顾性分析。结果2016—2021年成都市某三甲妇产儿童医院住院分娩产妇平均分娩年龄分别为(31.08±4.23)岁、(31.64±4.41)岁、(31.70±4.25)岁、(31.35±4.06)岁、(31.47±3.95)岁和(31.46±3.80)岁。与2016年相比,2017—2021年产妇分娩年龄整体呈上升趋势。住院分娩产妇剖宫产率从2016年的58.49%上升到2021年的63.88%,整体呈现波动式上升趋势。从产妇年龄来看,妊娠期糖尿病的发生率随产妇年龄的增长而增加(χ^(2)趋势=17.844,P<0.001)。结论随着我国生育政策的调整、生育观念的改变及辅助生殖技术的应用,产妇分娩年龄的提升已成为不可忽视的趋势,年龄作为影响妊娠并发症和分娩结局的重要因素,应引起临床高度重视。针对低龄、高龄产妇所面临妊娠风险的差异性,应加强监护及临床管理,提高产妇分娩安全性。Objective To analyze the trend of maternal age and pregnancy complications in a third grade obstertrics and children’s hospital of Chengdu,to provide reference for further prevention of pregnancy complications.Methods A retrospective analysis was conducted on the basic information of age,delivery time,delivery mode and pregnancy complications of pregnant women who delivered in a third grade obstertrics and children’s hospital of Chengdu from January 1,2016 to December 31,2021,quantitative data were(mean±standard deviation)described,qualitative data were expressed by constituent ratio or rate(%),and comparison between groups was performed by Chi-square trend test.P<0.05 was considered statistically significant.Results From 2016—2021,the average delivery age of inpatients in a third grade obstertrics and children’s hospital of Chengdu was(31.08±4.228),(31.64±4.412),(31.70±4.245),(31.35±4.061),(31.47±3.950)and(31.46±3.796),respectively.Compared with 2016,the overall age of maternal increased from 2017 to 2021.The cesarean section rate of hospitalized women increased from 58.49%in 2016 to 63.88%in 2021,showed an overall fluctuating upward trend.In terms of maternal age,the incidence of gestational diabetes increased with maternal age(χ^(2) trend=17.844,P<0.001).Conclusions With the adjustment of family planning in our country,the change of fertility concept and the application of assisted reproductive technology in China,the increase of maternal age at delivery had become a trend that can not be ignored.As an important factor affecting pregnancy complications and delivery outcomes,age should be attached great importance in clinical practice.In view of the difference of pregnancy risk between young and old parturient women,the monitoring and clinical management should be strengthened to improve the safety of parturient women.

关 键 词：生育政策 分娩年龄 高龄产妇 妊娠并发症 

分 类 号：R714.2[医药卫生—妇产科学]