105例不孕症患者子宫输卵管造影结果影响因素的Logistic回归分析  

Logistic regression analysis of influencing factors of hysterosalpingography results in 105 infertile patients

作　　者：李萍[1,2] 匡继林[1] 王淑婷 李璐 徐佳[1] LI Ping;KUANG Jilin;WANG Shuting;LI Lu;XU Jia(The Second Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410005,China;Hunan University of Chinese Medicine,Changsha,Hunan 410208,China)

机构地区：[1]湖南中医药大学第二附属医院,湖南长沙410005 [2]湖南中医药大学,湖南长沙410208

出　　处：《湖南中医药大学学报》2024年第7期1270-1276,共7页Journal of Hunan University of Chinese Medicine

基　　金：湖南省中医药管理局中医药科研计划一般项目(E2022016);湖南省中医药管理局中医药科研项目重点课题(2020011);全国名老中医专家传承工作室建设项目(国中医药人教函[2022]75号)。

摘　　要：目的探讨不孕症患者子宫输卵管造影结果发生异常的影响因素。方法选取2021年1月至2023年5月在湖南中医药大学第二附属医院妇科门诊就诊并接受X线子宫输卵管造影(X-ray hysterosalpingography,X-HSG)检查的105例不孕症患者,收集患者临床资料包括年龄、月经周期、不孕症类型、支原体感染史、衣原体感染史、淋病奈瑟球菌感染史、盆腔炎相关病史、输卵管相关病史等,并填写《中医体质调查问卷表》,采用Logistic回归方程分析不孕症患者X-HSG结果的影响因素。结果X-HSG结果异常与盆腔炎相关病史、输卵管相关病史、年龄、气郁质及湿热质呈正相关(P<0.05),与不孕症类型、月经周期规律与否无相关性(P>0.05)。多因素Logistic回归分析结果显示:不孕症类型、月经周期、气郁质、湿热质是HSG发生异常的危险因素(OR>1),年龄、盆腔炎相关病史、输卵管相关病史是HSG发生异常的保护因素(OR<1)。结论适龄生育、减少盆腔炎相关病史、减少输卵管相关病史、调畅情志、忌食肥甘厚味对于减少输卵管病理损伤引起的不孕症至关重要。Objective To explore the influencing factors of the abnormal results of hysterosalpingography in patients with infertility.Methods A total of 105 infertile patients who underwent X-ray hysterosalpingography(X-HSG)at the gynecology outpatient clinic of the Second Hospital of Hunan University of Chinese Medicine from January 2021 to May 2023 were selected.Clinical data of the patients were collected,including age,menstrual cycle,infertility type,as well as medical histories of mycoplasma infection,chlamydia infection,gonococcal infection,and pelvic inflammatory-related and tubal-related diseases.Additionally,a Chinese Medicine Constitution Questionnaire was filled out by the participants.Logistic regression equation was used to analyze the influencing factors of X-HSG results in patients with infertility.Results The abnormal X-HSG results were positively correlated with the medical histories of pelvic inflammatory-related and tubal-related diseases,age,and qi stagnation and damp-heat constitutions(P<0.05),and it had no significant correlation with the type of infertility and the regularity of menstrual cycle(P>0.05).Multifactorial Logistic regression analysis showed that the infertility type,menstrual cycle,and qi stagnation and damp-heat constitutions were risk factors for abnormal X-HSG results(OR>1),while age and medical histories of pelvic inflammatory-related and tubal-related diseases were protective factors for them(OR<1).Conclusion Age-appropriate childbearing,reductions of medical histories of pelvic inflammatory-related and tubal-related disease,regulation of emotions,and avoidance of fatty,sweet,and greasy foods are essential for reducing infertility caused by tubal pathological damage.

关 键 词：不孕症 子宫输卵管造影 LOGISTIC回归分析 影响因素 

分 类 号：R259[医药卫生—中西医结合]