[1]吴孝苹*,段占祺,杨青梅,等.“二孩政策”后四川省经产妇人口学特点和高龄产妇妊娠与分娩期疾病分布[J].中国计划生育和妇产科,2019,(7):90-94.
　WU Xiao-ping*,DUAN Zhan-qi,YANG Qing-mei,et al.The demographic characteristics in multiparas and the distribution of pregnancy and parturition diseases distribution in advanced maternal age after the “two-child policy” in Sichuan province[J].Chinese Journal of Family Planning & Gynecotokology,2019,(7):90-94.
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“二孩政策”后四川省经产妇人口学特点和高龄产妇妊娠与分娩期疾病分布
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2019年7期
页码:
90-94
栏目:
论著与临床
出版日期:
2019-06-25

文章信息/Info

Title:
The demographic characteristics in multiparas and the distribution of pregnancy and parturition diseases distribution in advanced maternal age after the “two-child policy” in Sichuan province
作者:
吴孝苹1*; 段占祺2; 杨青梅3; 李元宏3
1.成都市第一人民医院神经内科；2. 四川省卫生和计划生育信息中心；3.成都市第一人民医院妇产科
Author(s):
WU Xiao-ping1*;  DUAN Zhan-qi2;  YANG Qing-mei3;  LI Yuan-hong3
1. Department of Neurology, Chengdu First People's Hospital; 2. Sichuan Health and Family Planning Information Center; 3. Department of Obstetrics and Gynecology, Chengdu First People's Hospital, Chengdu Sichuan 610041,P.R.China
关键词:
“二孩政策 ”; 人口学; 高龄产妇; 疾病分布; 健康信息平台
Keywords:
two-child policy; demography; advanced maternal age; disease distribution; population health information platform
分类号:
R 711.5
摘要:
目的探讨“二孩政策”后四川省经产妇的人口学特点，分析高龄产妇妊娠与分娩期疾病的分布变化。方法在四川省全民健康信息平台中提取2015年至2017年3月住院分娩的二孩产妇资料。2015全年为单独二孩阶段，设为A阶段；2016年1月至2016年9月为过渡阶段，设为B阶段；2016年10至2017年3月为全面二孩阶段，设为C阶段。分析人口学特点及妊娠与分娩期疾病分布。结果共获得305 717例二孩产妇资料， B 阶段经产妇较A阶段月增加比例为 6901 %，C 阶段经产妇较A阶段月增加比例为16120 %。A B C 3 个阶段，非高龄组构成比为8364 %～8688 %，均高于高龄组（P<005）。高龄组与非高龄组经产妇妊娠与分娩期疾病前3名排序相同但比例不同，依次为：贫血（3404 % vs 2415 %）、脐带绕颈或扭转（2391 % vs 2422 %）、胎膜早破（1772 % vs 1092 %）。分娩方式比较，高龄组与非高龄组均以经阴道助产率高，为5975 % vs 6062 %，剖宫产率为4025 %与3938 %，但两组比较差异无统计学意义（P>005）。高龄组经产妇瘢痕子宫（7138 %）和流产＞2次比例（5133 %）均远高于非高龄组（1410 %、3126 %）（P<005）。高龄组经产妇发生胎盘粘连(818 %)、贫血（3404 %）、妊娠期糖尿病（1700 %），妊娠期高血压疾病(1056 %)的比例均高于非高龄组（086 %、2415 %、757 %、182 %）（P<005）。结论“二孩政策”后经产妇人数迅猛增加，以非高龄组比例增高明显；高龄组经产妇发生胎盘粘连、糖尿病、高血压和贫血的风险增加。
Abstract:
Objective To study the demographic characteristics in multiparas and analyze the distributional changes of pregnancy and parturition diseases after the “two-child policy” in Sichuan province. MethodsThe date on pregnancy women with 2nd parturition from 2015 to March 2017 was extracted from the Sichuan National Health Information Platform. The whole year of 2015 was designed as phase A; January 2016 to September 2016 was the transition phase, designed as phase B; from October 2016 to March 2017 was a universal two-child stage, established as phase C. ResultsThere were totally 305,717 cases retrieved out. The average monthly number of pregnant women in phase B increased by 6901% compared with that in phase A, and the average monthly number of pregnant women in phase C increased by 1612% compared with those in phase A.In the three phases of ABC, the composition ratio of non-senior group was 8364 %～8688 %, higher than that of senior group, which was statistically significant ( P＜005 ). The order of the top 3 diseases during pregnancy and delivery was the same but the proportion was different between the senior group and the non-senior group: anemia (3404 % vs 2415 %), umbilical cord around neck or twist ( 2391 % vs 2422 % ), premature rupture of membranes ( 1772 % vs 1092 % ). Comparedwith delivery modes, the vaginal augmentation rate was 5975 % and 6062 % in the senior group and non-senior group, and the rate of caesarean section delivery was 4025 % and 3938 %, but there was no significant difference between the two groups (P＞005 ). The maternal scar uterus (7138 %) and abortion>2 times (5133 %) were significantly higher in the senior group than in the non- senior group (1410 %, 3126 %) (P<005). The proportion of placental adhesions (818 %), anemia (3404 %), gestational diabetes (1700 %), and hypertensive disorder complicating pregnancy (1056 %) were higher in the senior group than in the non- senior group (086 %, 2415 %, 757 %, 182 %) (all P<005).ConclusionAfter the " two - child policy", the number of multiparas increased rapidly, and the proportion of non-senior group still increased obviously. Old age increases the risk of placental adhesion, diabetes, hypertension and anemia.

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更新日期/Last Update: 2019-07-25