發(fā)布時(shí)間：2018-01-23 10:31

  本文關(guān)鍵詞： 計(jì)劃生育婦女 不良妊娠 流行病學(xué) 農(nóng)村　出處：《中國(guó)公共衛(wèi)生》2017年07期 　論文類型：期刊論文

【摘要】：目的了解河南省衛(wèi)輝市農(nóng)村地區(qū)育齡婦女孕前健康檢查及妊娠結(jié)局情況,探討豫北農(nóng)村地區(qū)育齡婦女不良妊娠的可能危險(xiǎn)因素,為實(shí)現(xiàn)優(yōu)生優(yōu)育提供參考。結(jié)論計(jì)劃妊娠婦女應(yīng)避免吸煙及被動(dòng)吸煙,保持理想的BMI,遠(yuǎn)離農(nóng)藥、有害毒物及貓狗等動(dòng)物,加強(qiáng)生殖道的健康防護(hù)意識(shí)能夠減少不良妊娠結(jié)局的發(fā)生。方法于2014年1月1日—2014年12月31日在河南省衛(wèi)輝市選擇自愿參與孕前免費(fèi)健康檢查的2 125名農(nóng)村計(jì)劃生育婦女為研究對(duì)象,了解一般情況、孕前健康及妊娠結(jié)局情況等,利用SPSS 19.0統(tǒng)計(jì)軟件進(jìn)行單因素及多因素的logistic回歸分析。結(jié)果 2 125名婦女中受孕者914人,妊娠率達(dá)到43.0%,其中出現(xiàn)不良妊娠結(jié)局的78人,占8.5%;單因素logistic回歸分析結(jié)果顯示,不良妊娠結(jié)局與年齡(OR=2.209,95%CI=1.130~4.319)、受教育程度(OR=0.443,95%CI=0.297~0.659)、是否吸煙或者被動(dòng)吸煙≥3h/d(OR=3.659,95%CI=1.875~7.139)、丈夫是否吸煙(OR=2.333,95%CI=1.221~4.460)、BMI(OR=0.645,95%CI=0.483~0.861)、是否初次妊娠(OR=0.142,95%CI=0.072~-0.288)、是否與有害毒物及貓狗接觸史(OR=7.268,95%CI=2.370~22.286)、是否有生殖道感染(OR=2.750,95%CI=1.267~5.967)有相關(guān)性;多因素條件回歸分析顯示,有生殖道感染(OR=4.103,95%CI=1.544~-10.904)、與有害毒物及貓狗接觸史(OR=3.260,95%CI=1.145~9.282)、吸煙或者被動(dòng)吸煙3h/d(OR=3.127,95%CI=1.009~-9.694)、BMI偏低(OR=2.617,95%CI=1.147~5.973)均是不良妊娠結(jié)局的危險(xiǎn)因素,初次妊娠是保護(hù)因素(OR=0.114,95%CI=0.114~0.319)。結(jié)論計(jì)劃妊娠婦女應(yīng)避免吸煙及被動(dòng)吸煙,保持理想的BMI,遠(yuǎn)離農(nóng)藥、有害毒物及貓狗等動(dòng)物,加強(qiáng)生殖道的健康防護(hù)意識(shí)能夠減少不良妊娠結(jié)局的發(fā)生。
[Abstract]:Objective to investigate the pre-pregnancy health examination and pregnancy outcome of women of childbearing age in rural areas of Weihui City, Henan Province, and to explore the possible risk factors of poor pregnancy among women of childbearing age in rural areas of northern Henan Province. Conclusion pregnant women should avoid smoking and passive smoking, maintain ideal BMIs, avoid pesticides, harmful poisons, cats and dogs and other animals. To strengthen the awareness of health protection of the reproductive tract can reduce the occurrence of adverse pregnancy outcome. Methods from January 1st 2014 to December 31st 2014 in Weihui, Henan Province, choose to volunteer to participate in free pre-pregnancy health examination. Check 2. 125 rural family planning women were studied. To understand the general situation, pre-pregnancy health and pregnancy outcome. Univariate and multivariate logistic regression analysis was carried out with SPSS 19.0 software. Results 914 of 2 125 women were pregnant, and the pregnancy rate was 43.0%. Among them, 78 cases (8.5%) had adverse pregnancy outcomes. The results of univariate logistic regression analysis showed that the adverse pregnancy outcome and age were 2.209 / 95 / 1.130 / 4.319). The education level was 0.44395 / 0.2970.59, and whether smoking or passive smoking was more than 3 h / d = 3.659. The number of CIUs is 1.875 / 7.139, and whether the husband is smoking or not is 2.333 / 95. The CIQ is 1.221 / 4.460 / BMIO / 0.645. 95 CIQ 0.483 / 0.861g, whether the first pregnancy is 0.142 / 95 / 0. 072% -0.288). Do you have contact with harmful poisons and cats and dogs?? 7.268? 95? CI2. 370? 22.286??? (95) CII 1.267 ~ 5.967); Multivariate conditional regression analysis showed that there were reproductive tract infections (4.103C95), 1.54 44-10.904, and 3.260 contact with harmful poisons and cats and dogs. 95 CI1.145 / 9.282, smoking or passive smoking / 3 / h / d / d ~ (1. 127) / 95 / 95 CIQ = 1. 009 ~ 9. 694). BMI was 2.61795.973) and the first pregnancy was the protective factor (0.114). Conclusion pregnant women should avoid smoking and passive smoking, maintain ideal BMIs and stay away from pesticides, poisons, cats and dogs. Strengthening the awareness of health protection in the reproductive tract can reduce the occurrence of adverse pregnancy outcomes.
【作者單位】： 新鄉(xiāng)醫(yī)學(xué)院第一附屬醫(yī)院婦產(chǎn)科;新鄉(xiāng)醫(yī)學(xué)院護(hù)理學(xué)院;新鄉(xiāng)醫(yī)學(xué)院第一附屬醫(yī)院皮膚科;
【基金】：河南省人口和計(jì)劃生育科學(xué)技術(shù)研究項(xiàng)目(20150312)
【分類號(hào)】：R181.3;R714.2
【正文快照】： 2012年國(guó)家衛(wèi)生和計(jì)劃生育委員會(huì)發(fā)布的數(shù)據(jù)顯示,我國(guó)出生缺陷發(fā)生率為5.6%,每年新增出生缺陷數(shù)約90萬(wàn)例,出生缺陷是不良妊娠結(jié)局中的一種,也是造成早期流產(chǎn)、死胎、死產(chǎn)等不良妊娠結(jié)局的主要原因,并且大多數(shù)存活者伴隨終身患病或者殘疾[1-2],嚴(yán)重影響人口健康素質(zhì)的提高和社，

本文編號(hào)：1457331