摘要
目的了解城乡结合部孕妇被动吸烟现状、影响因素及其对不良妊娠结局及新生儿出生体重的影响。方法采用自愿参加的形式,对于2011年1月至2012年11月在我院单胎活产分娩的产妇进行面对面的问卷调查(n=1020)。结果孕妇被动吸烟率84.90%;被动吸烟更多见于20岁以上人群(χ2=64.492,P<0.0001);产次(χ2=55.538,P<0.0001)、文化水平(χ2=80.361,P<0.001)及经济状况(χ2=141.945,P<0.0001)和被动烟草暴露之间存在显著统计学意义;妊娠期高血压(χ2=6.332,P=0.012)、子痫前期(χ2=5.325,P=0.022)更多见于被动吸烟对象;胎儿生长受限更多见于被动吸烟孕妇(χ2=4.126,P=0.042)。结论被动吸烟也能对妊娠结局造成不良影响,与新生儿体重过低有关,不同地区在采取干预措施时更需要加以个体化处理。
Objective ： To understand the passive pregnancy smoking status in internal migrants. Adverse impact on pregnancy outcomes were investigated. Method ： Participants were voluntarily enrolled （ n = 1020） from Jan 2011 to November 2012. Result ： Passive smoking rate of Group A and B was 65.95% vs 70. 85% , more commonly seen in women below 20yr （X2 = 64. 492, P 〈 0. 0001 ）. Significance exists in parity （X2 = 55. 538, P 〈 0. 0001 ） , education degree （X2 = 80. 361, P 〈 0. 001 ） and family income （X2 = 141. 945, P 〈0. 0001 ） between women with and without passive tobacco exposure. Incidence of pregnancy induced Hypertension （X2 =6. 332, P =0. 012） and preeclampsia （X2 =5. 325, P =0. 022） were significantly higher in women passively exposed to tobacco, so it is with fetal growth restriction （X2 = 4. 126, P = 0. 042）. Conclusion ： Passive smoking during pregnancy may induce adverse outcomes and be associated with low birth weight of infants. Intervention should be carried out on the basis of such population - based deviation.
出处
《中国优生与遗传杂志》
2013年第4期72-73,131,共3页
Chinese Journal of Birth Health & Heredity
关键词
孕妇
烟草暴露
被动吸烟
Pregnancy
Tobacco exposure
Passive smoking
