摘要
目的探讨输卵管妊娠发病的影响因素,为其临床研究提供依据。方法选择85例诊断为输卵管妊娠及90例宫内正常妊娠的孕妇作为研究对象,分别作为输卵管妊娠组和正常妊娠组。收集患者相关信息,单因素筛选出影响宫外孕发生的相关因素,应用Logistic回归分析选出输卵管妊娠的高危因素。结果输卵管妊娠组年龄≥30岁、人工受孕、妇科炎症史、吸烟史、异位妊娠史、避孕药、不良孕产史、流产史、剖宫产史及使用宫内节育器(IUD)比例明显高于正常妊娠组,差异有统计学意义(χ2值分别为4.197、4.390、7.437、5.543、4.185、7.750、5.232、9.699、5.543和7.437,P<0.05);人工受孕、妇科炎症史、异位妊娠史、避孕药、流产史、剖宫产史及使用IUD是输卵管妊娠发生的高危因素,差异有统计学意义(OR值分别为3.111、2.765、3.102、4.653、1.980、2.954和3.431,P<0.05)。结论多种因素可引起输卵管妊娠的发生,人工受孕、妇科炎症史、异位妊娠史、避孕药、流产史、剖宫产史及使用IUD是输卵管妊娠发生的高危因素,临床中需及时治疗妇科炎症,避免意外妊娠发生,对存在上述危险因素的孕妇需重视。
Objective To explore the influencing factors of tubal pregnancy, provide a basis for clinical research. Methods Eighty- five women diagnosed as tubal pregnancy and ninety normal pregnant women were selected as study objects. Results The proportions of women aged 30 years old or more than 30 years old, artificial insemination, history of gynecological inflammation diseases, smoking history, history of ectopic pregnancy, taking contraceptive drugs, history of abnormal pregnancy, abortion history, and using intrauterine device （IUD） in tubal pregnancy group were statistically significantly higher than those in normal pregnancy group （χ2 = 4. 197, P〈0. 05; χ2 = 4. 390, P〈0.05 ; χ2 = 7.437, P〈0.05 ; χ2 = 5. 543, P〈 0. 05 ; χ2 = 4. 185, P〈 0.05 ; χ2 = 7. 750, P〈 0. 05 ; χ2 = 5. 232, P〈 0. 05 ; χ2 = 9. 699, P〈0.05 ; χ2 = 5. 543, P〈0. 05 ; χ2 = 7.437, P〈0. 05 ） ; artificial insemination, history of gynecological inflammation diseases, histo- ry of ectbpic pregnancy, taking contraceptive drugs, abortion history, history of cesarean section, and using IUD were high risk factors of tubal pregnancy （OR= 3. 111, P〈0. 05; OR= 2. 765, P〈0. 05; OR= 3. 102, P〈0. 05; OR= 4. 653, P〈0. 05; OR= 1. 980, P〈0. 05; OR = 2. 954, P〈0.05 ; OR = 3.431, P〈0. 05） . Conclusion Many factors can induce tubal pregnancy, artificial insemination, history of gyne- cological inflammation diseazes, history of eetopic pregnancy, taking contraceptive drugs, abortion history, history of cesarean section, and using IUD were high risk factors of tubal pregnancy. Gynecological inflammation diseases should be treated timely, and unwanted pregnancy should be avoided, the pregnant women with above-mentioned risk factors should be oaid more attention to.
出处
《中国妇幼保健》
CAS
2016年第3期562-564,共3页
Maternal and Child Health Care of China
关键词
输卵管妊娠
异位妊娠
危险因素
Tubal pregnancy
Ectopic pregnancy
Risk factor
