行保胎治疗的复发性流产患者发生难免流产的影响因素探究  

Investigation of the influencing factors of unavoidable abortion in recurrent abortion patients undergoing fetal preservation therapy

作　　者：陈松灵 Chen Song-ling(Department of Obstetrics and Gynecology,Yongcheng Maternal and Child Health Hospital,Yongcheng 476600,Henan,China)

机构地区：[1]永城市妇幼保健院妇产科,河南永城476600

出　　处：《四川生理科学杂志》2025年第4期784-786,890,共4页

摘　　要：目的:分析复发性流产(Recurrent spontaneous abortion,RSA)保胎治疗患者难免流产的影响因素。方法:回顾性收集2021年3月至2023年3月期间本院收治的87例RSA保胎治疗患者的临床资料。所有RAS患者均行保胎治疗。根据保胎治疗结局将患者分为保胎成功组和难免流产组。收集并比较两组的基线资料。采用多因素Logistic回归分析法分析影响RSA保胎治疗患者难免流产的相关因素。结果:87例RSA患者中70例保胎成功,纳入保胎成功组;17例难免流产,纳入难免流产组。难免流产组焦虑、抑郁、贫血占比均高于保胎成功组,人绒毛膜促性腺激素(β-humanchorionicgonadotrophin,β-HCG)水平低于保胎成功组,孕酮(Progesterone,P)水平低于保胎成功组(P<0.05)。多因素Logistic回归分析显示,焦虑、抑郁、贫血、β-HCG和P水平是RSA保胎治疗患者难免流产的影响因素(P<0.05)。结论:RSA患者保胎治疗后难免流产的发生率较高,焦虑、抑郁、贫血、β-HCG和P水平是其难免流产的影响因素。Objective:To analyze the influencing factors of inevitable abortion in patients with recurrent spontaneous abortion(RSA).Methods:The clinical data of 87 RSA patients with fetal preservation treatment admitted to our hospital from March 2021 to March 2023 were retrospectively collected.All patients were treated with fetal protection,and were divided into successful group and unavoidable abortion group according to the outcome of fetal protection treatment.Baseline data were collected and compared between the two groups.Multivariate Logistic regression analysis was used to analyze the related factors affecting inevitable abortion in RSA patients.Results:Among 87 RSA patients,70 cases were successfully protected,and were included in the successful group.17 cases were included in the inevitable abortion group.The proportions of anxiety,depression and anemia in the inevitable abortion group were higher than those in the successful group,and the levels ofβ-human chorionic gonadotrophin(β-HCG)and progesterone(P)were lower than those in the successful group(P<0.05).Multivariate Logistic regression analysis showed that anxiety,depression,anemia,β-HCG and P levels were the influential factors for inevitable abortion in RSA treatment patients(P<0.05).Conclusion:The incidence of inevitable abortion is higher in RSA patients after fetal preservation treatment.Anxiety,depression,anemia,β-HCG and P levels are the influencing factors of inevitable abortion.

关 键 词：复发性流产 保胎治疗 难免流产 影响因素 孕酮 贫血 

分 类 号：R714.21[医药卫生—妇产科学]