摘要
目的探索适龄妇女异位妊娠患者发病的危险因素,为临床采取有针对性的预防措施提供依据。方法采用病例对照研究,目的抽样法选择河北省4所三级甲等综合性医院就诊的异位妊娠患者和正常宫内妊娠者各251例为研究对象。采用自行编制的异位妊娠患者相关危险因素调查问卷,对其进行调查并进行影响因素分析。结果单因素分析共筛选出17个相关因素,logistic回归分析显示,盆腔炎症性疾病、异位妊娠史、剖宫产史、既往妊娠次数及初孕年龄<22岁波动是异位妊娠发病的独立危险因素。结论异位妊娠的发生是多种因素共同作用的结果,医护人员应针对其影响因素提供有针对性的健康宣教、加强围产期管理等措施,以减少异位妊娠的发生。
Objective To explore the risk factors of ectopic pregnancy(EP)in Hebei province.and to provide the basis for clinical preventive measures.Methods A case-control study was conducted to select EP patients(251 cases)and IUP patients(251 cases)from 4 tertiary general hospitals in Hebei Province.A self-designed questionnaire on risk factors of EP was used to investigate and analyze the influencing factors.Results Univariate analysis showed 17 factors related to EP;logistic regression analyses showed pelvic inflammatory disease,history of ectopic pregnancy,history of cesarean section,number of previous pregnancies and the first gestational age less than 22 year were independent risk factors of EP.Conclusions The occurrence of EP is the result of various factors.Therefore,medical staff should provide targeted health education and strengthen perinatal management to reduce the incidence of ectopic pregnancy.
作者
张欢欢
郭艳巍
张金环
杨佳琦
单伟颖
ZHANG Huanhuan;GUO Yanwei;ZHANG Jinhuan;YANG Jiaqi;SHAN Weiying(School of Nursing,Chengde Medical College,Chengde 067000,Hebei Province,China;Department of Obstetrics,AffiliatedHospital of Chengde Medical College,Chengde 067000,Hebei Province,China;Basic Medical College,Chengde Medical College;Chengde Nursing Vocational College,Chengde 067000,Hebei Province,China)
出处
《解放军护理杂志》
CSCD
北大核心
2019年第8期11-14,共4页
Nursing Journal of Chinese People's Liberation Army
基金
河北省科技计划项目(162777102D)
关键词
河北省
异位妊娠
危险因素
Hebei province
ectopic pregnancy
risk factors
