[1]双敏.藏区妇女异位妊娠发病因素探讨[J].中国计划生育和妇产科,2017,(4):65-67.
　SHUANG Min.Discussion on risk factors of ectopic pregnancy in Tibetan women[J].Chinese Journal of Family Planning & Gynecotokology,2017,(4):65-67.
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藏区妇女异位妊娠发病因素探讨
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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4期
页码:
65-67
栏目:
论著与临床
出版日期:
2017-04-25

文章信息/Info

Title:
Discussion on risk factors of ectopic pregnancy in Tibetan women
作者:
双敏
中航工业三六三医院妇科
Author(s):
SHUANG Min
Department of Gynaecology，China Aviation Industry 363 Hospital，Chengdu Sichuan 610041,P.R.China
关键词:
藏区妇女; 异位妊娠; 发病因素
Keywords:
Tibetan women;  ectopic pregnancy;  risk factors
分类号:
R 714.22
摘要:
目的探讨藏区妇女异位妊娠的发病因素。方法根据患者是否来自于藏区（甘孜、阿坝），将 2013～2015年中航工业三六三医院收治的异位妊娠病例356例分为藏区组和非藏区组，进行回顾性分析。结果在异位妊娠的病因上，两组患者生产次数、人工流产、服用紧急避孕药方面比较，差异有统计学意义（P<005)，而在盆腔炎症、放置宫内节育器史、异位妊娠发病史、盆腔手术史等方面，两组间差异无统计学意义（P>005)。结论藏区患者生产次数明显多于非藏区患者，是当地异位妊娠的特殊病因。而在人工流产、紧急避孕药服用上，藏区患者明显少于非藏区患者，并不构成藏区异位妊娠的主要病因。
Abstract:
ObjectiveTo explore the risk factors of ectopic pregnancy in Tibetan women. MethodsAccording to whether the patients were from the Tibetan area (Ganzi, Aba), 356 cases of ectopic pregnancy treated in China Aviation Industry 363 Hospital from January 2013 to December 2015 were divided into two groups and retrospective analysis was carried out. ResultsIn the cause of ectopic pregnancy, two groups of patients were compared in number of production, abortion and taking emergency contraception.The differences were statistically significant(P<005). But in the pelvic inflammatory disease, history of intrauterine device, ectopic pregnancy and pelvic surgery, the differences between the two groups were not statistically significant(P>005). ConclusionThe number of production is more in Tibetan patients than in non-Tibetan patients, which is a special cause of local ectopic pregnancy.Abortion and emergency contraceptives are much less in Tibetan patients than in non-Tibetan patients. Thus they do not constitute to the main cause of ectopic pregnancy in Tibetan areas. 【Key

参考文献/References:

［1］王淑贞．妇产科理论与实践 ［M］．上海：科技出版社，1981：613． ［2］赵海燕，蔡叶萍，李洁．近30年异位妊娠发病相关因素的变迁分析 ［J］．中国医学创新，2013，10(5）:113-115． ［3］TRABERT B， Holt VL, YU O，et al. Population-based ectopic pregnancy trends,1993-2007［J］. American Journal of Preventive Medicine,2011, 40 (5): 556-560. ［4］Parazzini F,TozziL,FerraroniM,et al.Risk factors for ectopic pregnancy：an Italian case～control study ［J］.Obstetrics & Gynecology,1992,80(5):821-826. ［5］Stucki D，Buss J． The ectopic pregnancy,a diagnostic and therapeutic challenge ［J］.JMed Life，2011,1(1) : 40-48． ［6］JULIE L S, GILLIAN S W. Chlamydia trachomatis Infection Increases Fallopian Tube PROKR2 via TLR2 and NFκ B Activation Resulting in a Microenvironment Predisposed to Ectopic Pregnancy ［J］. The American Journal of Pathology, 2011, 178(1): 253-260. ［7］季晓黎，双敏．异位妊娠相关病因及危险因素探讨 ［J］．医学信息，2013,26(11）：105-106． ［8］石一复. 异位妊娠的病因学研究进展 ［J］.中国实用妇科与产科杂志,2000,16(4):196-197.

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更新日期/Last Update: 2017-04-25