摘要
目的探讨影响先兆流产妊娠结局的相关因素，以期为先兆流产的防治工作提供一定的理论依据。方法选择我院2014年1～12月收治的先兆流产患者153例，采用自行设计的调查问卷对患者一般资料、既往病史及孕产史进行调查。采用门诊及电话随访，直至患者流产或分娩。根据妊娠结局将其分为良好结局组和不良结局组，比较两组临床资料的差异并进行多因素Logistic回归分析。结果单因素结果显示，良好结局组和不良结局组在年龄、既往多次流产史、既往自然流产史、黄体功能不全、合并阴道炎、合并甲状腺功能低下等方面差异均有统计学意义（P〈0．05）；多因素Logistic回归分析显示，既往自然流产史、黄体功能不全、合并阴道炎是影响先兆流产妊娠结局的独立危险因素。结论针对影响先兆流产妊娠结局的危险因素制定合理的临床干预对策，对预防流产，改善妊娠结局有积极意义。
Objective To explore the related factors of pregnancy outcome of threatened abortion to provide theoretic reference for threatened abortion prevention. Methods From Jan. 2014 to Dec 2014,153 cases of patients with threatened abortion were selected. The general data, past medical history and pregnancy history of the cases were investigated with self-designed questionnaire. The cases were adopted with outpatient data and telephone follow-up until miscarriage or giving birth. And the 153 patients were divided into better pregnancy outcome group （109） and poor pregnancy outcome group （44）by pregnancy outcome. The clinical data of the two groups were compared and multiple logistic analysis. Results The single factor analysis results showed that there was a statistical different of age, history of multiple abortions, history of spontaneous abortion, luteal phase deficiency, merge vaginitis, thyroid hypofunction between the two groups （P 〈 0.05）. Multiple logistic analysis showed, history of spontaneous abortion, luteal phase deficiency and merge vaginitis were significantly independent determinants for pregnancy outcome of threatened abortion. Conclusion Set reasonable clinical intervention strategies in risk factor of pregnancy outcome of threatened abortion have a positive significance for preventing miscarriage and improve the pregnancy outcomes.
出处
《中国医药科学》
2016年第18期150-152,共3页
China Medicine And Pharmacy
关键词
先兆流产
妊娠结局
相关因素
因素分析
Threatened abortion
Pregnancy outcome
Related factors
Factor analysis
