妊娠妇女发生合并症／并发症的相关因素分析

摘要

Objective To explore the occurrence and related factors of comorbidities and complications in pregnant women.Methods We selected 860 cases of pregnant women treated in Jianyang People’ s Hospital from March 2007 to September 2013 as the research objects,and the pregnancy medical examinations were taken and questionnaire was conducted to analyze the occurrence and related fac-tors of comorbidities and complications in pregnant women.Results There were 77 cases of pregnancy with comorbidities, the inci-dence was 8.95%,and there was a total of 79 cases of pregnancy with complications,the rate was 9.19%.Totally 46 cases were diffi-cult to distinguish between comorbidities and complications,the incidence being 5.35%.Age,number of abortions,the number of ante-natal care ,the termination methods,gestational age and fetus number were the influence factors of maternal comorbidities/complica-tions,and procreative times was also the influence factor of pregnancy complications (P<0.05),while further logistic regression analy-sis showed that younger age,fewer times of antenatal care and early termination of pregnancy were the protective factors for pregnancy comorbidities/complications,the abortion times,times of cesarean delivery and times of bigeminal pregnancy were the independent risk factors for pregnancy comorbidities/complications,and procreative times was also an independent risk factor for pregnancy complications (P<0.05).Conclusions The incidence of comorbidities/complications is still at low level,yet the corresponding physical checks should be strengthened for pregnancy with higher incidence of disease, at the same time positive and effective prevention measures should be taken for pregnancy with higher risk of comorbidities/complications,in order to reduce the incidence of diseases.%目的：对妊娠妇女合并症／并发症的发生情况以及相关影响因素进行研究分析。方法选取该院2007年3月—2013年9月收治的860例妊娠妇女作为研究对象，采用孕期医学检查和调查问卷的形式对其妊娠期间合并症／并发症的发生情况以及相关影响因素进行统计分析。结果（1）妊娠合并症共有77例，发生率为8．95％，妊娠并发症共有79例，发生率为9．19％，另外调查表中难以区分的合并症／并发症共有46例，发生率为5．35％；（2）年龄、流产次数、产检次数、本次终止妊娠方式、终止妊娠孕周以及胎儿数为孕产妇合并症／并发症发生的影响因素，另外产次也是病发妊娠并发症的影响因素（P＜0．05），而进一步Logistic回归分析显示，年龄（小）、产检次数（少）以及终止孕程时间（早）为妊娠合并症／并发症的保护因素，而流产次数、既往剖宫产次数以及双胎次则为影响孕产妇发生妊娠合并症／并发症的独立危险因素，而产次也是影响孕产妇病发妊娠并发症的独立危险因素（P＜0．05）。结论孕产妇合并症／并发症的发生率尚处于较低水平，临床对发病率较高的病症应加强相应的孕检工作，同时还应积极有效的开展病发妊娠合并症／并发症高危人群的防治措施，以降低发病率。