高龄备孕妇女生殖健康状况调查及影响因素分析  

Investigation and analysis of influencing factors of reproductive health status of elderly pregnant women

作　　者：潘铁梅 李重言 Pan Tiemei;Li Chongyan(Department of Gynecology,The First People's Hospital of Yancheng,Jiangsu Province,Yancheng 224600,China;Department of Rehabilitation,The First People's Hospital of Yancheng City,Yancheng 224600,China)

机构地区：[1]江苏省盐城市第一人民医院妇科,江苏盐城224600 [2]江苏省盐城市第一人民医院康复科,江苏盐城224600

出　　处：《实用妇科内分泌电子杂志》2023年第14期8-10,14,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的总结与整理高龄备孕妇女生殖健康状况的调查结果,对相关影响因素进行分析,旨在提升妇女生殖健康水平,降低不良妊娠结局的发生率。方法选取105例孕前咨询的高龄(年龄≥35岁)备孕妇女,通过提供孕前咨询服务、开展常规检查了解其生殖健康情况,归纳并分析生殖健康相关影响因素。结果问卷量表共计发放105份,有效回收率为100%。在105例高龄备孕妇女中,检测生殖系统有关疾病61例(58.10%),合并2种疾病3例(2.86%)。按照其检出率的高低,依次为宫颈疾病24例(39.34%)、子宫疾病19例(31.15%)、外阴阴道疾病16例(26.23%)、附件疾病1例(1.64%)、盆腔疾病1例(1.64%)。多因素Logistic回归分析显示:年龄、人流次数、妇科疾病史、血清卵泡刺激素(FSH)、抗苗勒管激素(AMH)、阴超窦卵泡数、月经周期均是高龄备孕妇女生殖健康的重要影响因素(P<0.05);且受教育程度高是保护因素(P<0.05)。结论由于高龄备孕妇女生殖健康状态不太理想,需切实根据生殖健康相关影响因素实施针对性、系统化的宣传教育,提供孕前咨询服务,以此提升育龄妇女生殖健康,提高妊娠率,降低不良妊娠结局发生率。Objective To summarize and sort out the survey results of female reproductive health status of elderly pregnant women,and analyze the relevant influencing factors in order to improve the level of female reproductive health and reduce the incidence of adverse pregnancy outcomes.Methods 105 pregnant women(aged≥35 years old)with pre-pregnancy consultation were selected to understand their reproductive health by providing pre-pregnancy consultation services and carrying out routine examinations,and the related influencing factors of reproductive health were summarized and analyzed.Results A total of 105 questionnaires were distributed with an effective recovery rate of 100%.Among 105 elderly pregnant women,61 cases(58.10%)were found to have diseases related to the reproductive system,and 3 cases(2.86%)were found to have two diseases.According to the detection rate,there were 24 cases of cervical disease(39.34%),19 cases of uterine disease(31.15%),16 cases of vulvovaginal disease(26.23%),1 case of accessory disease(1.64%),and 1 case of pelvic disease(1.64%).Multiple Logistic regression analysis showed that age,abortion frequency,gynecological disease history,serum follicle stimulating hormone(FSH),anti-Mullerian hormone(AMH),number of follicles in supervaginal sinus and menstrual cycle were important factors affecting reproductive health of pregnant women(P<0.05).High education level was a protective factor(P<0.05).Conclusion Due to the unsatisfactory reproductive health status of older pregnant women,it is necessary to implement targeted and systematic publicity and education according to the related influencing factors of reproductive health,and provide pre-pregnancy counseling services,so as to improve the reproductive health of women of childbearing age,increase the pregnancy rate,and reduce the incidence of adverse pregnancy outcomes.

关 键 词：高龄 备孕妇女 生殖健康 孕前结果调查 

分 类 号：R714[医药卫生—妇产科学]