摘要
目的:探讨复发性流产的危险因素,尤其是社会心理因素在复发性流产中的作用。方法:以复发性流产198例孕妇作为病例组,而同期先兆流产165例为对照组进行病例对照研究。采用非条件对数优势回归模型对研究因素进行多因素分析。结果:按α=0.05水平,多次自然流产病例组患病率为90.00%,对照组为49.70%(P<0.01,OR=9.62);社会心理因素病例组患病率为87.37%,对照组为53.54%(P<0.01,OR=2.32);高龄孕妇病例组患病率为67.17%,对照组为49.70%(P<0.01,OR=2.01),入选非条件对数优势回归多因素模型。结论:多次自然流产、社会心理因素、高龄孕妇等是复发性流产的主要危险因素。在复发性流产的预防策略中,应重视社会心理因素的作用。
Objective：To explore the risk factors of recurrent abortion,especially the value of the socio-psychological factors in recurrent abortion.Methods：198 pregnant women with recurrent abortion were selected as case group,165 pregnant women with threatened abortion during the same period were selected as control group,then a case-control study was conducted;unconditional logistic regression model was used for multifactor analysis of the research factors.Results：The significant level was 0.05,the incidences of natural abortion for many times in case group and control group were 90.00% and 49.70%,respectively,there was significant difference between the two groups（P0.01,OR=9.62）;the proportions of socio-psychological factors in case group and control group were 87.37% and 53.54%,respectively,there was significant difference between the two groups（P0.01,OR=2.32）;the proportions of pregnant women of advanced age in case group and control group were 67.17% and 49.70%,respectively,there was significant difference between the two groups（P0.01,OR=2.01）;the socio-psychological factors were included into unconditional logistic regression model.Conclusion：Natural abortion history for many times,socio-psychological factors and pregnant women of advanced age were the main risk factors of recurrent abortion;the socio-psychological factors should be paid attention to in the prevention strategies of recurrent abortion.
出处
《中国妇幼保健》
CAS
北大核心
2011年第1期31-32,共2页
Maternal and Child Health Care of China
关键词
复发性流产
非条件对数优势回归
社会心理因素
Recurrent abortion
Unconditional logistic regression
Socio-psychological factors
