难产相关危险因素分析

Analysis on risk factors about dystocia

目的调查四川省江安地区产妇难产的发病率,并分析其相关危险因素。方法以江安县妇幼保健院近5年接诊的产妇为研究对象,分析产妇年龄、孕产次、胎儿体质量、产妇体质量、运动锻炼、饮食、孕期保健、家族史、糖尿病史等危险因素对难产的影响。结果5年间接诊产妇共2695例,难产538例,占总数的19.96%。经综合分析发现,难产与产妇年龄、胎儿体质量、产妇体质量、运动锻炼、饮食、孕期保健、家族史、糖尿病史相关,与孕产次无关。结论通过高危因素预测,正确预防难产是降低围生儿及产妇并发症的重要措施。

Objective To investigate the dystocia incidence in Jiang＇an region and analyze the correlated risk factors. Methods The puerperas in the recent 5 years in our hospital were enrolled in the investigation. The effect of the risk factors （age, gravidity, parity, fetus weight, puerpera weight, exercise, food and drink, antenatal care, family history and diabetes history） on dystocia was analyzed. Results Totally 2 695 puerperas were enrolled in the investi- gation. There were 538 dystocia cases （19.96%） in 2 695 puerperas. Aggregate analysis showed dystocia was associated with the risk factors （age, gravidity, parity, fetus weight, puerpera weight, exercise, food and drink, antenatal care, family history and diabetes history） ,and not correlative to gravidity and parity. Conclusion Prevention of dystocia correctly is an important measure of decreasing the complication of perinatal baby and puerperal by predicting high risk factors.