摘要
目的探讨早产的危险因素,为制定早产的预防策略和干预治疗措施提供理论依据。方法方便选择2014年9月—2015年9月在南京市妇幼保健院住院分娩的早产产妇及足月产产妇各120例为调查对象,进行1：1配对病例-对照研究。结果 1胎膜早破、较高的孕前体重指数和罹患子痫前期均为早产的危险因素,OR值分别为5.56（95%CI 3.51-9.66）、1.76（95%CI 1.35-2.84）、3.88（95%CI 3.37-8.49）（P〈0.05）;2产前保健、常住地址为城镇是早产的保护性因素,OR值分别为0.75（95%CI 0.44-0.98）、1.63（95%CI 1.28-3.54）（P〈0.05）。结论早产为多因素共同作用的结果,需规范产前检查,增加孕期保健,并积极处理妊娠并发症和合并症,从而有效降低早产发病率。
Objective Analyse the risk factors of preterm birth, to provide the theoretical basis for making prevention strate-gy and measures. Methods Convenient selection study object was the women of preterm infants who met the requirements admitted by Nanjing Maternity and Child Care Center from September 2014 to September 2015. The control group was the women of term birth. Each group contains 120 subjects. Results Premature rupture of membrane （OR=5.56,95%CI：3.51-9.66）、 higher body mass index （OR=1.76,95%CI：1.35-2.84） and the mother who had preeclampsia are the risk factors of preterm birth（OR=3.88,95%CI：3.37-8.49） （P〈 0.05）. Prenatal care（OR=0.75,95%CI：0.44-0.98） and permanent address for the town （OR=1.63,95%CI：1.28-3.54） are the protective factors of premature （P〈 0.05）. Conclusion Preterm birth is caused by the combined action of multiple factors. So we need make antenatal examination specification, increase pregnancy care, actively deal with pregnancy complications, and combinations for reducing the incidence of preterm birth.
出处
《中外医疗》
2016年第19期60-62,70,共4页
China & Foreign Medical Treatment
关键词
早产
危险因素
预防
Preterm birth
Risk factors
Prevention
