[1]刘会兰.142例胎膜早破危险因素Logistic回归分析[J].中国计划生育和妇产科,2017,(12):18- 20,24.
　LIU Hui-lan.Logistic regression analysis of risk factors of 142 cases of premature rupture of membranes[J].Chinese Journal of Family Planning & Gynecotokology,2017,(12):18- 20,24.
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142例胎膜早破危险因素Logistic回归分析
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年12期
页码:
18- 20,24
栏目:
论著与临床
出版日期:
2017-12-25

文章信息/Info

Title:
Logistic regression analysis of risk factors of 142 cases of premature rupture of membranes
作者:
刘会兰
广元市妇幼保健计划生育服务中心妇产科
Author(s):
LIU Hui-lan
Department of Obstetrics and Gynecology,Guangyuan Maternal and Child Health Family Planning Service Center,Guangyuan Sichuan 628000,P.R.China
关键词:
胎膜早破; 危险因素; Logistic回归分析
Keywords:
premature rupture of membranes;  risk factors;  Logistic regression analysis
分类号:
R 71443+3
摘要:
目的探讨胎膜早破的相关危险因素，为临床预防胎膜早破提供参考。方法回顾性分析2016年1月至2017年1月在广元市妇幼保健计划生育服务中心住院分娩的胎膜早破产妇142例（研究组）的临床资料，选取同期正常产妇140例作为对照组，采用单因素、多因素Logistic回归分析胎膜早破的危险因素。结果单因素分析发现胎膜早破与多胎妊娠、感染、头盆不称、妊娠期高血压疾病、妊娠期糖尿病有关（P<005）；而与胎盘前置、横位、子宫畸形无关（P>005）；多因素Logistic回归分析发现多胎妊娠、感染、头盆不称是胎膜早破的独立危险因素。结论影响胎膜早破的主要危险因素有多胎妊娠、感染、头盆不称，针对危险因素加强预防对降低围生儿死亡率有重要意义。
Abstract:
ObjectiveTo explore the risk factors of premature rupture of membranes, to provide a reliable basis for clinical prevention of premature rupture of membranes. MethodsA total of 140 pregnant women with premature rupture of membranes were selected in Guangyuan Maternal and Child Health Family Planning Service Center from January 2017 to January 2017. A total of 140 normal pregnant women were selected as the control group. Single factor and multivariate logistic regression analysis was used to select the risk factors for premature rupture of membranes. ResultsUnivariate analysis found that premature rupture of membranes was correlated with multiple pregnancy, infection, cephalopelvic disproportion, pregnancy complicated with hypertension and diabetes（P<005）,while not correlated with placenta previa, transverse and uterine anomalies(P>005).Multivariate Logistic regression analysis found that multiple pregnancies, infections and erectile dysfunction were independent risk factors for premature rupture of membranes. ConclusionThe main risk factors of premature rupture of membranes are multiple pregnancy, infection, asymmetry of the cervix, for its risk factors.To strengthen the prevention of risk factors for the reduction of perinatal mortality is important.

参考文献/References:

［1］赵玉祥，岳虹霓，杨占华．不同围生因素对新生儿结局的影响 ［J］．临床儿科杂志，2014，32（1）：55-58． ［2］曹秀贞，张丽菊，易为，等．足月胎膜早破产妇相关因素及对母婴结局的影响 ［J］．中华医院感染学杂志，2015，4（12）：2859-2861． ［3］KACEROVSKY M, TOSNER J, DRAHOSOVA M. Pentraxin 3 in amniotic fluid as a marker of intra-amniotic inflammation in women with preterm premature rupture of membranes ［J］. International Journal of Gynecology and Obstetrics, 2010, 108 (9): 203-206. ［4］陈丽珍，冯文彬，杨桂春，等．未足月胎膜早破所致早产相关因素及妊娠结局的临床研究 ［J］．中国医药科学，2015，8（10）：50-52． ［5］郎艳．未足月胎膜早破患者易发因素分析及其妊娠结局研究 ［J］．中华妇幼临床医学杂志（电子版），2015，11（6）：724-728． ［6］DEUTSCH A, DEUTSCH E, TOTTEN C. Maternal and neonatal outcomes based on the gestational age of midtrimester preterm premature rupture of membranes ［J］. Journal of Maternal-Fetal and Neonatal Medicine, 2010, 23 (2): 1429-1434. ［7］张珊珊．未足月胎膜早破患者易发因素分析及妊娠结局探讨 ［J］．临床医学工程，2015，22（11）：1443-1445． ［8］王莉．早产合并胎膜早破的发生因素及妊娠结局分析 ［J］．内蒙古中医药，2014，33（26）：80． ［9］MARKHUS V H, RASMUSSEN S, LIE S A. Placental abruption and premature rupture of membranes ［J］. Acta Obstetricia et Gynecologica Scandinavica, 2011, 90 (9): 1024-1029. ［10］张桂英．足月胎膜早破产妇相关易发因素及对母婴结局的影响 ［J］．中国妇幼保健，2016，31（9）：1837-1839． ［11］宋美兰，贾艳艳．妊娠晚期未足月胎膜早破208例临床分析 ［J］．华中科技大学学报(医学版)，2011，40（4）：486-489． ［12］赵晓胜，黄爱民．未足月胎膜早破的高危因素分析及护理 ［J］．中国实用护理杂志，2010，26（18）：23-24．

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更新日期/Last Update: 2017-12-25