[1]邹晓萍*,邹晓文,刘传丽,等.35岁以上初产妇不良妊娠结局及其相关危险因素分析[J].中国计划生育和妇产科,2018,(3):57-61.
 ZOU Xiao-ping*,ZOU Xiao-wen,LIU Chuan-li,et al.Analysis of adverse pregnancy outcome and related risk factors in primipara over 35 years old[J].Chinese Journal of Family Planning & Gynecotokology,2018,(3):57-61.
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35岁以上初产妇不良妊娠结局及其相关危险因素分析
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年3期
页码:
57-61
栏目:
论著与临床
出版日期:
2018-03-25

文章信息/Info

Title:
Analysis of adverse pregnancy outcome and related risk factors in primipara over 35 years old
作者:
邹晓萍1*邹晓文2刘传丽1史海霞1
1. 300162天津,武警后勤学院附属医院妇产科;2. 435128湖北大冶,大冶市刘仁八卫生院
Author(s):
ZOU Xiao-ping1*ZOU Xiao-wen2 LIU Chuan-li1SHI Hai-xia1
1.Department of Gynaecology and Obstetrics, Affiliated Hospital of Logistical College of Chinese People's Armed Police Force, Tianjin 300162, P.R.China;2.Liurenba Town Hospital, Daye Hubei 435128, P.R.China
关键词:
高龄妊娠初产妇妊娠结局危险因素
Keywords:
advanced age pregnancy primipara pregnancy outcome risk factors
分类号:
R 7142
摘要:
目的研究35岁以上初产妇不良妊娠结局,并对其相关危险因素进行分析。方法回顾性分析2015年7月至2017 年7月于武警后勤学院附属医院分娩的初产妇2 362例的临床资料,根据年龄将研究对象分为高龄组405例(≥35岁),适龄组1 957例(20~34岁)。根据是否发生不良妊娠结局,将高龄组进一步分为不良结局组67例,正常分娩组338例。对可能造成不良妊娠结局的危险因素进行单因素分析,筛选出相关危险因素,对筛选因素再进行多因素Logistic回归分析35岁以上初产妇不良妊娠结局的独立危险因素。结果高龄组妊娠合并症的发生率为4272 %(173/405),适龄组为4006 %(786/1957);高龄组妊娠并发症的发生率为4765 %(193/405),适龄组为4471 %(875/1957)。其中高龄组在妊娠并发贫血、子宫肌瘤、妊娠期高血压疾病、妊娠期糖尿病、前置胎盘的发生率均高于适龄组,差异有统计学意义(P<005)。对高龄产妇不良妊娠结局的多因素Logistic回归分析可见:妊娠期高血压疾病(OR=2133,P=0032)、前置胎盘(OR=4256,P=0025)、子宫收缩乏力(OR=7853,P=0019)为不良妊娠结局的独立危险因素。结论35岁以上初产妇不良妊娠结局发生率高于适龄产妇。妊娠期高血压疾病、前置胎盘、子宫收缩乏力均为不良妊娠结局的独立危险因素。
Abstract:
ObjectiveTo analyze the adverse pregnancy outcome and its related risk factors in primipara over 35 years old. MethodsThe clinical data of 2 362 primipara delivered in the Affiliated Hospital of Logistical College of Chinese People's Armed Police Force fr

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更新日期/Last Update: 2018-03-25