不良妊娠结局的重要影响因素分析

Analysis of adverse pregnancy outcome

目的分析不良妊娠结局的重要影响因素,提高妊娠质量。方法回顾性分析436例妊娠妇女,其中316例孕妇存在孕期生殖道感染、孕期糖尿病、孕期被动吸烟和配偶饮酒等危险因素,另120例孕妇无上述危险因素,采用Logistic回归分析导致不良妊娠结局的相关因素。结果入选孕妇中存在生殖道感染、糖尿病、孕期被动吸烟和配偶饮酒等危险因素的不良妊娠结局发生率分别为5.7%、34.0%、25.8%和17.5%,均高于无上述危险因素的孕妇(2.5%),logistic回归分析显示,导致不良妊娠结局的危险因素中,生殖道感染相对危险度比值比(OR)为3.23、糖尿病OR为5.78、孕期被动吸烟OR为4.88以及配偶饮酒OR为3.85。结论妊娠期生殖道感染、糖尿病、孕期被动吸烟及配偶饮酒等均与不良妊娠结局相关。

Objective To analyze the important factors in adverse pregnancy outcomes for improving pregnancy quality. Methods Retrospective analysis on 436 cases of pregnant women with adverse pregnancy outcomes, including 316 cases of pregnant women with reproductive tract infections, diabetes during pregnancy, passive smoking during pregnancy and spouses drinking, and other 120 cases without risk factor, were performed by logistic regression analysis. Results In selected objects, the incidences of adverse pregnancy outcomes related to the factors of reproductive tract infections, diabetes, pregnancy passive smoking and drinking spouse were 5.7%, 34.0%, 25.8% and 17.5% respectively, which were higher than in patients without risk factors （2.5%）. The logistic regression analysis demonstrated that the relative risk ratio （OR） of reproductive tract infections was 3.23, OR of diabetes was 5.78, OR of passive smoking during pregnancy was 4.88, and OR of drinking spouse was 3.85. Conclusion Reproductive tract infections with pregnancy, diabetes during pregnancy, passive smoking during pregnancy and spouse drinking were correlated with the incidence of adverse pregnancy.