摘要
目的探讨高龄孕产妇不良妊娠结局的危险因素,为高龄孕产妇健康管理提供依据。方法收集2016年1月1日至12月31日扬州市某三级甲等妇幼保健机构分娩的6 892例孕产妇的临床及妊娠结局资料,对比分析高龄孕产妇组与非高龄孕产妇组在妊娠合并症及并发症、围产儿结局的差异,同时对影响高龄产妇不良妊娠结局的危险因素进行多因素Logistic回归分析。结果高龄组妊娠期糖尿病、妊娠期高血压疾病、妊娠期合并疤痕子宫、前置胎盘检出率均显著高于非高龄组,差异有统计学意义(P<0.05);高龄组早产儿、巨大儿以及新生儿死亡发生率均高于非高龄组,差异有统计学意义(P<0.05);采用多因素非条件Logistic回归分析将干扰因素剔除后,仅妊娠期糖尿病是不良妊娠结局的独立危险因素(OR=1.38,P<0.05)。结论加强高龄孕产妇高危因素的筛查与管理,对不良妊娠结局积极预防,确保母婴安全。
Objective To explore the high risk factor that leading to adverse outcome in elderly pregnant women, and provide basis for elderly pregnant women health management. Methods Data on the clinical and pregnancy outcomes of6 892 cases of pregnant women were collected from a tertiary care institution in Yangzhou. The differences in pregnancy complications, complications and perinatal outcomes between the elderly maternal and non?elderly maternal groups were compared and analyzed. Multivariate Logistic regression analysis was performed on the risk factors affecting the adverse pregnancy outcomes in older women. Results The incidence rates of pregnancy associated with diabetes, hypertensive disorder complicating pregnancy, uterus with scar, placenta previa in elderly pregnant women were higher than those of non?elderly group(P<0.05). The incidence rates of premature, macrosomia, and neonatal death were higher in older group than those in non?elderly group(P<0.05). The high risk factor that impacted adverse outcome in elderly pregnant women was pregnancy associated with diabetes(OR=1.38,P<0.05). Conclusion The management of elderly pregnant women, and positive prevention of adverse pregnancy outcomes should be strengthened to ensure the safety of mother and infants.
作者
王红
王静
申春华
杨晓红
何晓燕
姜跃彭
WANG Hong;WANG Jing;SHEN Chun-hua;YANG Xiao-hong;HE Xiao-yan;JIANG Yue-peng(Yangzhou Maternal and Child Health Care Hospital,Yangzhou,Jiangsu 225002,China)
出处
《热带医学杂志》
CAS
2019年第2期226-228,共3页
Journal of Tropical Medicine
基金
2012科技攻关-社会发展科技攻关项目(扬州)(SGG201230073)
关键词
高龄孕产妇
不良妊娠结局
危险因素
Elderly pregnant women
Adverse pregnancy outcome
High risk factor
