妊娠分娩并发症危险因素分析.docVIP

妊娠分娩并发症危险因素分析 　　【摘要】 目的 探?分析妊娠分娩并发症的危险因素。方法 358例接受管理待产的妊娠妇女为研究对象， 对一般资料、既往孕产史、分娩情况等进行调查， 记录所有研究孕产妇的妊娠分娩并发症发生情况， 比较分析影响妊娠分娩并发症发生的相关危险因素。结果 358例妊娠妇女中， 40例孕产妇发生妊娠分娩并发症， 发生率为11.17%。单因素分析结果显示， 年龄、流产次数、既往剖宫产史、孕检次数、分娩方式、分娩时孕周是妊娠分娩并发症的影响因素（χ2=21.943， 4.167， 10.884， 4.958， 4.837， 16.224， P0.05）。多因素分析结果显示， 年龄小、流产次数少、分娩时孕周小是妊娠分娩并发症的保护性因素， 有既往剖宫产史、孕检次数少、剖宫产是妊娠分娩并发症的独立危险因素， 差异有统计学意义（P0.05）。结论 高龄妊娠、多次流产、既往剖宫产史、晚产、孕检次数少、剖宫产是妊娠分娩并发症发生的主要危险因素， 临床上应该加强妊娠分娩并发症风险的健康教育， 提高孕产妇的自我保健意识与能力， 并建议针对具有以上高危因素的孕产妇， 应当加强孕检工作， 积极进行早期防护与治疗， 以降低发病率， 改善妊娠结局。 　　【关键词】 妊娠；分娩；妊娠结局；并发症；危险因素 　　DOI：10.14163/j.cnki.11-5547/r.2017.06.097 　　【Abstract】 Objective To explore and analyze the risk factors of complications of pregnancy and childbirth. Methods A total of 358 pregnant women received management for delivery as study subjects， and investigation were made on their general data， maternal history and delivery conditions. Complications of pregnancy and childbirth in maternal women were recorded， and the related risk factors impacting pregnancy and childbirth were compared and analyzed. Results Among 358 maternal women， there were 40 maternal women with complications of pregnancy and childbirth， accounting for 11.17%. Single factor analysis showed that age， abortion times， history of cesarean delivery， pregnancy tests number， delivery method， birth gestational age were the influence factors for complications of pregnancy and childbirth （χ2=21.943， 4.167， 10.884， 4.958， 4.837， 16.224， P0.05）. Multiple factors analysis results showed that young， few abortions， small childbirth gestational age were protective factors of complications of pregnancy and childbirth， and caesarean history， fewer pregnancy tests， cesarean delivery were independent risk factors for complications of pregnancy and childbirth. The difference had statistical significance （P0.05）. Conclusion Older pregnancy， abortion， history of cesarean section， late production， fewer pregnancy tests and cesarean section are major risk factors for com