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328例稽留流产患者的相关因素病例对照研究

Case control study of influence factors among 328 patients with missed abortion

  • 摘要: 目的 探讨328例稽留流产患者的相关影响因素,为防止稽留流产的发生提供参考。方法 回顾性分析2013年9月-2016年6月惠州市第一妇幼保健院确诊治疗的稽留流产患者328例作为病例组,同期选取非稽留流产孕产妇100例作为对照组,通过自制《孕产妇的临床资料表格》收集所有研究对象临床资料,采用单因素分析法分析稽留流产的影响因素,采用Logistic回归分析法分析其相关因素,统计分析所有患者的临床资料及稽留流产的影响因素。结果 单因素分析法显示,病例组和对照组文化程度基本相同,差异无统计学意义(P>0.05),病例组患者高龄、孕次、吸烟和饮酒史、剖宫产史、流产史、孕期感染发生率明显高于对照组,差异有统计学意义(P<0.05);Logistic回归分析法显示,高龄、初产妇、吸烟和饮酒史、剖宫产史、流产史、孕期感染是稽留流产的危险因素(P<0.05)。结论 高龄、初产妇、吸烟和饮酒史、剖宫产史、流产史、孕期感染与稽留流产有关,是其发生的独立危险因素。提示医师应对该孕妇人群积极开展健康教育,养成良好的生活习惯,加强孕前检查宣传力度,以防止稽留流产的发生。

     

    Abstract: Objective To discuss the influence factors among 328 patients with missed abortion, in order to provide reference for preventing the occurrence of missed abortion.Methods From September 2013 to June 2016, 328 patients with missed abortion who hospitalized in our hospitals were selected as case group, at the same time, 100 cases pregnancy women without missed abortion were selected as control group. Self-designed pregnancy women information form was used to collect the clinical data from all the research objects, univariate analysis and logistic regression analysis were used to analyze the risk factors.Results Univariate analysis showed that, the difference of the education level between the two groups was not statistically significant (P> 0. 05). Compared with control group, case group had higher incidence in high age, pregnant times, history of smoking and drinking, history of cesarean section, history of abortion, pregnancy infection, and the differences were statistically significant (P< 0. 05); Logistic regression analysis showed that high age, primipara, history of smoking and drinking, history of cesarean section, history of abortion, pregnancy infection were the risk factor for missed abortion (P< 0. 05).Conclusions High age, primipara, history of smoking and drinking, history of cesarean section, history of abortion, infection during pregnancy were associated with missed abortion, they were independent risk factors. Physicians should carry out health education for pregnant women actively, help them to develop good habits and customs, and enhance propaganda of pregnancy check, in order to prevent the occurrence of missed abortion.

     

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