妊娠晚期孕妇不良妊娠结局的影响因素分析

Analysis of Influencing Factors of Adverse Pregnancy Outcome in Third Trimester Pregnant Women

目的 探究妊娠晚期孕妇不良妊娠结局的影响因素。方法 回顾性选取2020年6月—2023年6月南通市妇幼保健院收治的106例分娩产妇的临床资料,根据妊娠结局的不同分为妊娠结局良好组(n=92)、妊娠结局不良组(n=14),在孕晚期的相同孕周对两组患者进行心电图检查,记录患者心电图异常发生情况,比较两组患者相关指标的差异,进一步进行Logistics多因素分析。结果 结局良好组的年龄小于结局不良组,异常心电图发生率、心律不齐发生率、合并妊娠期糖尿病发生率、合并妊娠期高血压发生率低于结局不良组,差异有统计学意义(P均<0.05);经Logistics多因素分析发现,年龄(高龄)、异常心电图、心律不齐、合并妊娠期糖尿病、合并妊娠期高血压为影响妊娠晚期孕妇不良妊娠结局的独立危险因素(OR=3.446、5.146、14.258、13.871、11.789,P均<0.05)。结论 妊娠晚期孕妇不良妊娠结局的影响因素为年龄、心电图异常、心律不齐、合并妊娠期糖尿病、合并妊娠期高血压。

Objective To explore the influencing factors of adverse pregnancy outcomes in third trimester pregnant women.Methods The clinical data of 106 parturients admitted to Nantong Maternal and Child Health Hospital from June 2020 to June 2023 were retrospectively selected.According to the different pregnancy outcomes,they were divided into good pregnancy outcome group(n=92)and bad pregnancy outcome group(n=14).Electrocardiogram examination was performed in the same gestational week in the third trimester of the two groups,and the abnormal occurrence of electrocardiogram was recorded.The difference of correlation index between the good outcome group and the bad outcome group was compared,and the Logistics multi-factor analysis was further conducted.Results Age in the good outcome group was younger than that in the bad outome group,and the incident rate of abnormal electrocardiogram,arrhythmia,gestational diabetes mellitus and gestational hypertension in the good outcome group were lower than those in the bad outcome group,the differences were statistically significant(all P<0.05).After Logistics multi-factor analysis,it was found that age(old age),abnormal electrocardiogram,arrhythmia,gestational diabetes mellitus and gestational hypertension were independent risk factors for adverse pregnancy outcomes in third trimester pregnant women(OR=3.446,5.146,14.258,13.871,11.789,all P<0.05).Conclusion The influencing factors of adverse pregnancy outcome in third trimester were age,abnormal electrocardiogram,arrhythmia,gestational diabetes mellitus and gestational hypertension.