[1]张军喜,蒋丽芳#,柴 健,等.河南省农村育龄妇女不良妊娠结局影响因素分析*[J].郑州大学学报(医学版),2017,(01):54-57.[doi:10.13705/j.issn.1671-6825.2017.01.015]
 ZHANG Junxi,JIANG Lifang,CHAI Jian,et al.Influencing factors of adverse pregnancy outcomes among women of childbearing age in rural areas of Henan Province[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2017,(01):54-57.[doi:10.13705/j.issn.1671-6825.2017.01.015]
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河南省农村育龄妇女不良妊娠结局影响因素分析*()
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2017年01期
页码:
54-57
栏目:
应用研究
出版日期:
2017-01-15

文章信息/Info

Title:
Influencing factors of adverse pregnancy outcomes among women of childbearing age in rural areas of Henan Province
作者:
张军喜蒋丽芳#柴 健马颖辉董 玮
河南省人口和计划生育科学技术研究院;
国家卫生计生委出生缺陷预防重点实验室 郑州 450002
Author(s):
ZHANG Junxi JIANG Lifang CHAI Jian MA YinghuiDONG Wei
Henan Provincial Research Institute for Population and Family Planning;
Key Laboratory of Birth Defects Prevention, National Health and Family Planning Commission,Zhengzhou 450002
关键词:
育龄妇女 不良妊娠结局 农村地区 河南省
Keywords:
women of childbearing age adverse pregnancy outcome rural area Henan Province
分类号:
R714
DOI:
10.13705/j.issn.1671-6825.2017.01.015
摘要:
目的:探讨影响河南省农村地区育龄妇女不良妊娠结局的危险因素。方法:采用随访研究的方法对河南省4个项目县2012年有生育打算的17 911对育龄夫妇进行问卷调查,了解疾病史、孕育史、家族史、生活习惯等方面的内容,并对孕期和妊娠结局情况进行随访。不良妊娠结局影响因素分析采用logistic回归分析。结果:育龄妇女年龄在20~47岁,其中31~岁妇女占4.1%(731/17 911),35岁以上妇女占1.0%(181/17 911); 初中及以下学历者占75.0%(13 438/17 911); 农民占86.0%(15 395/17 911)。有73.5%(13 137/17 864)的育龄妇女在1 a内怀孕,其中正常活产12 506人,不良妊娠结局631人。多因素logistic回归分析结果显示:高龄妊娠(OR=3.600,95%CI=1.164~11.134)、既往不良妊娠史(OR=5.607,95%CI=1.641~19.162)、正确服用叶酸(OR=0.598,95%CI=0.383~0.935)是不良妊娠结局的影响因素。结论:高龄妊娠和既往不良妊娠史是不良妊娠结局的危险因素,正确服用叶酸是保护因素。
Abstract:
Aim: To explore the risk factors of adverse pregnancy outcomes among women of childbearing age in rural areas of Henan Province.Methods: The study was conducted on 17 911 couples of childbearing age in 4 counties in Henan Province in 2012. The disease history, birth history, family history, living habits,etc were obtained through the questionnaire survey, and their pregnancy and pregnancy outcomes were followed up. The influencing factors of adverse pregnancy outcomes were analyzed by logistic regression analysis.Results: The age of women was between 20-47 years, among them, 31- years old women accounted for about 4.1%(731/17 911), >35 years old women accounted for about 1.0%(181/17 911), women with junior middle school education level or lower accounted for about 75.0%(13 438/17 911)and farmers accounted for about 86.0%(15 395/17 911). The proportion of women who got pregnant within one year accounted for about 73.5%(13 137/17 864), among them 12 506 had normal live births, and 631 had adverse pregnancy outcome. Multivariate logistic regression analysis showed that advanced age(OR=3.600, 95%CI=1.164-11.134), previous adverse pregnancy history(OR=5.607, 95%CI=1.641-19.162), and supplement of folic acid(OR=0.598, 95%CI=0.383-0.935)were the influencing factors of adverse pregnancy outcomes.Conclusion: Advanced age and previous adverse pregnancy history are the independent risk factors of adverse pregnancy outcomes, and the supplement of folic acid is the protective factor.

参考文献/References:

[1] 胡爱莲.不良妊娠结局危险因素分析[J].中国优生优育,2013,19(5):380
[2] 胡晓斌,杨轶男,白亚娜.兰州市 6825 例住院孕产妇不良妊娠结局危险因素的logistic 回归分析[J].中国循证医学杂志,2011,11(5):505
[3] 吉卉.高龄妊娠对母儿的影响[J].中国妇幼保健,2010,25(24):3415
[4] 李媛媛,张海鲲,李忠良,等.不良妊娠结局现状及其影响因素分析[J].中国妇幼健康研究,2014,25(4):577
[5] 陈丽玲.对69例先兆流产产妇妊娠结局及相关影响因素的分析[J].当代医药论丛,2014,12(7):234
[6] 温小鲜,梁建文,陈凤仪,等.孕前保健对某地区出生缺陷及其他不良妊娠结局影响的观察[J].中国医药科学,2014,4(19):24
[7] 董丽,孙丽芳.甲状腺自身抗体和促甲状腺素预测流产的价值[J].中国妇产科临床杂志,2011,12(3):191
[8] 龙春燕,邵红,周燕,等.乌鲁木齐免费体检不良妊娠结局与孕前危险因素暴露关系研究[J].新疆医学,2015,45(10):1404
[9] 王巧梅.叶酸和神经管畸形的预防[J].中国计划生育学杂志,2001,9(1):32
[10]杨慧,朱晓琴,余敏敏,等.叶酸对围产儿先天性心脏病发生率的影响[J].江苏医药,2014,40(7):845
[11]倪茗,许诣.孕妇血清叶酸水平与胎儿神经管畸形及妊娠结局的相关性分析[J].中国实用神经疾病杂志,2014,17(19):18
[12]袁彦玲,叶汉风,速存梅,等.云南省农村育龄夫妇不良妊娠结局与危险因素暴露关系研究[J].中国计划生育学杂志,2012,20(7):463

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备注/Memo

备注/Memo:
*河南省属预研项目 2014yy006
#通信作者,女,1963年6月生,本科,研究员,研究方向:生殖健康,E-mail:jiangzz66@163.com
更新日期/Last Update: 2017-01-20