摘要
目的分析孕妇早产的高危因素。方法回归性分析401例早产孕妇和同期收治的632例足月产孕妇临床资料,采用单因素分析和多因素logistic回归分析孕妇早产的高危因素。结果单因素分析显示,两组妊娠期高血压疾病、妊娠合并糖尿病、生殖系统感染、阴道出血、有产检、有早产史、胎膜早破、宫颈机能不全、羊水异常、外周血淋巴细胞计数比较,差异有统计学意义(χ2分别=195.47、205.55、156.09、95.44、100.13、41.96、106.61、13.12、2.28、22.64,P均<0.05);logistic回归分析显示,妊娠期高血压疾病、妊娠合并糖尿病、生殖系统感染、阴道出血、有产检、有早产史、胎膜早破、外周血淋巴细胞计数是孕妇早产的影响因素(P<0.05)。结论严密观察并积极预防孕妇早产的高危因素,可以降低早产发生率,改善母婴结局。
Objective To analyze the risk factors of premature delivery. Methods The clinical data of 401 cases of preterm labor and 632 cases of mature puerperas was analyzed, and its risk factors of premature delivery were analyzed by logistic regression analysis. Results The single factor analysis showed that pregnancy induced hypertension, pregnancy complicated with diabetes, reproductive system infection, vaginal bleeding, pregnancy check-ups, premature labor, pre-mature rupture of membranes, cervical incompetence, abnormal amniotic fluid, peripheral blood lymphocyte count be-tween two groups were significantly different （χ2=195.47, 205.55, 156.09, 95.44, 100.13, 41.96, 106.61, 13.12, 2.28, 22.64,P〈0.05）. Logistic regression analysis showed that pregnancy induced hypertension, pregnancy complicated with di-abetes, reproductive system infection, vaginal bleeding, pregnancy check-ups, premature labor, premature rupture of membranes, peripheral blood lymphocyte count were the independent risk factors（P〈0.05）. Conclusion Strict observing and preventing the high risk factors of premature delivery in order to reduce the incidence of premature birth and improve maternal and child outcomes.
出处
《全科医学临床与教育》
2015年第5期522-525,共4页
Clinical Education of General Practice
