通过Logstcs回归分析凶险性前置胎盘导致子宫切除的危险因素  

Risk Factors for Placenta Previa Were Analyzed by Logistics Regression

作　　者：马琳[1] 刘华静[1] 刘艳丽[1] 徐芝灵[1] MA Lin;LIU Hua-jing;LIU Yan-li;XU Zhi-ling(Shangqiu First People's Hospital,Shangqiu 476100,Henan Province,China)

机构地区：[1]商丘市第一人民医院,河南商丘476100

出　　处：《罕少疾病杂志》2024年第8期93-95,共3页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20192364)。

摘　　要：目的通过Logistics回归分析凶险性前置胎盘导致子宫切除的危险因素。方法回顾性分析从2019年1月至2022年1月期间在我院就诊的凶险性前置胎盘患者184例根据患者子宫切除情况将患者分为切除组(n=68)与未切除组(n=116)分析切除组与为切除组患者临床资料。2.采用Logistics回归分析影响患者子宫切除的危险因素。3.分析危险因素在预测患者子宫切除的能效。结果单因素分析发现,人工流产次数,手术时间,术中出血量,术前预置球囊和胎盘植入程度是影响患者凶险性前置胎盘子宫切除的因素。多因素Logistics回归分析发现,人工流产次数,手术时间,术中出血量和术前预置球囊是影响凶险性前置胎盘患者子宫切除的独立危险因素(P<0.05)。各项指标单独预测的曲线下面积均为超过0.7,但是通过联合预测ROC曲线下面积为0.733。结论人工流产次数、手术时间、术中出血量和术前预置球囊是影响凶险性前置胎盘患者子宫切除的独立危险因素。Objective To analyze the risk factors of dangerous placenta previa by Logistics regression.Methods In a retrospective analysis,from January 2019 to January 2022,184 patients with dangerous placenta previa visited our hospital.According to their hysterectomy,the patients were divided into resection group(n=68)and unresection group(n=116).Clinical data of patients in the resection group and those in the resection group were analyzed.2 Logistics regression was used to analyze the risk factors affecting hysterectomy in patients.3.analyze the risk factors in predicting the energy efficiency of hysterectomy in patients.Results Univariate analysis found that the number of induced abortions,operation time,intraoperative bleeding,preoperative preset balloon and placenta implantation were the factors affecting the dangerous placenta previa hysterectomy(P<0.05).Multivariate Logistics regression analysis found that the number of induced abortions,operation time,intraoperative blood loss and preoperative preset balloon were independent risk factors for hysterectomy in patients with dangerous placenta previa(P<0.05).The area under the curve predicted by each index alone is more than 0.7,but the area under the ROC curve is 0.733 by combined prediction.Conclusion Number of induced abortion,operation time,intraoperative blood loss and preoperative preset balloon are independent risk factors affecting hysterectomy in patients with dangerous placenta previa.

关 键 词：Logistics回归 凶险性前置胎盘 子宫切除 危险因素 

分 类 号：R713.42[医药卫生—妇产科学]