先兆流产相关影响因素及妊娠结局的病例对照研究

Case control study on relevant factors of threatened abortion and pregnancy outcome

目的：研究先兆流产影响因素及妊娠结局的关联性.方法：资料随机选自2013年2月～2014年2月本院门诊就诊的86例早期先兆流产的孕妇行跟踪调查,按照产妇的妊娠结局分为两组,将出现不良结局40例产妇作为研究组,良好妊娠结局46例产妇作为对照组,分析两组产妇的临床表现及一般资料情况.结果：研究组患者以高龄、低收入、重污染行业工作者及3次妊娠例数居多,且明显多于对照组例数,比较差异均具有统计学意义（P〈0.05）;研究组患者以宫内大血肿及阴道大出血例数居多,且明显多于对照组例数,比较差异均具有统计学意义（P〈0.05）.结论：先兆流产产妇在实际妊娠过程中受多方面因素影响,在临床早期检查诊断后需加强保胎措施,避免各种危险因素的干扰.

Objective:To study the correlations between relevant factors of threatened abortion and pregnancy outcome. Methods:86 cases with threatened abortion from February, 2013 to February, 2014 in our hospital were selected and followed up. They were divided into two group according to pregnancy outcomes, 40 cases with unsatisfactory outcome in the research group, 46 cases with good outcome in the control group . The information of the two groups was analyzed. Results:Patients in the research group were advanced-age, low income and heavy pollution with most 3 times of pregnancy, obviously higher than that of the control group, and the differences were statistically significant(P<0.05);patients in the research group had intrauterine large hematoma and vaginal bleeding, obviously higher than the control group, and the differences were statistically significant(P<0.05). Conclusion:Threatened abortion can be related to many factors. In the early clinical diagnosis, some measures should be taken to avoid the interference of various risk factors.