摘要
目的探讨女性盆腔结核患者妊娠结局的影响因素。方法选取2018年7月至2022年9月就诊于山西医科大学第一医院的60例女性盆腔结核患者作为研究对象,对其临床资料(年龄、近1年的月经情况、就诊原因、结核病史和结核接触史、盆腔结核类型、BMI、孕产史、月经情况、妊娠结局等情况进行汇总及分析其与妊娠结局间的相关性,并应用多元无序logistic回归分析其妊娠结局的影响因素。结果61.6%的盆腔结核患者多无症状,23.3%的患者以不孕就诊;BMI(r=0.401)、经量(r=0.310)与盆腔结核患者妊娠结局呈正相关(P<0.05);相关性分析结果显示,盆腔结核患者妊娠结局与其月经模式、年龄、有无抗结核治疗史无明显相关性;BMI(OR=150.773)、经量(OR=39.999)是盆腔结核患者发生不孕的影响因素(P<0.05)。结论BMI、经量与盆腔结核患者发生不孕间存在相关性,二者对其妊娠结局有一定的预测意义。
Objective To explore the influencing factors of pregnancy outcome in female patients with pelvic tuberculosis.Methods A total of 60 female patients with pelvic tuberculosis who were admitted to the First Hospital of Shanxi Medical University from July 2018 to September 2022 were selected as the research subjects.The clinical data(age,menstruation in the past year,reason for visiting the hospital,tuberculosis history and tuberculosis contact history,pelvic tuberculosis type,BMI,pregnancy history,menstruation,and pregnancy outcome)were summarized and the correlation between them and pregnancy outcome was analyzed.The multivariate chaotic logistic regression was used to analyze the influencing factors of pregnancy outcome.Results 61.6%of the patients with pelvic tuberculosis were mostly asymptomatic,and 23.3%of them presented with infertility.BMI(r=0.401)and menstrual flow(r=0.310)were positively correlated with the pregnancy outcome of pelvic tuberculosis patients(P<0.05).The results of correlation analysis showed that there was no significant correlation between pregnancy outcomes of patients with pelvic tuberculosis and their menstrual patterns,ages,and the history of anti-tuberculosis treatment.BMI(OR=150.773)and meridian volume(OR=39.999)were the influencing factors of infertility in patients with pelvic tuberculosis(P<0.05).Conclusion There is a correlation between BMI and menstrual volume and infertility in patients with pelvic tuberculosis,both of which have certain predictive significance for the pregnancy outcomes.
作者
王换换
王玉贤
WANG Huanhuan;WANG Yuxian(Shanxi Medical University,Taiyuan,Shanxi 030000,China;Department of Obstetrics,The First Hospital of Shanxi Medical University,Taiyuan,Shanxi 030000,China)
出处
《重庆医学》
CAS
2023年第S01期88-92,共5页
Chongqing medicine
关键词
女性盆腔结核
妊娠结局
影响因素
female pelvic tuberculosis
pregnancy outcome
influencing factors
