CAJ | 학술논문

为探讨应用医院产科资料进行职业性有害因素对妊娠经过和妊娠结局影响研究的价值，对北京市8所医院产科病房自1992年5月至1993年4月期间住院分娩的12 224名初产妇，进行了应用产科记录资料，并于产妇出院前做个案随访，进行问卷调查的方法收集资料。从中抽取孕期职业接触噪声的产例1 272例作为研究对象(接触组)，以孕期不接触任何职业性有害因素的产例9 260例作为对照组，分别组成队列，分析不良妊娠经过和妊娠结局与孕期职业接触噪声之间有无关联。结果显示，与对照组比较，孕期职业接触噪声，妊娠高血压综合征、早产、低出生体重、宫内发育迟缓(IUGR)、宫缩无力及产后出血的发病率增高，并有统计学意义。表明应用医院产科记录资料结合问卷调查，可为发现职业性有害因素是否有导致不良妊娠经过和结局发生的危险，提供线索。
위탐토응용의원산과자료진행직업성유해인소대임신경과화임신결국영향연구적개치，대북경시8소의원산과병방자1992년5월지1993년4월기간주원분면적12 224명초산부，진행료응용산과기록자료，병우산부출원전주개안수방，진행문권조사적방법수집자료。종중추취잉기직업접촉조성적산례1 272례작위연구대상(접촉조)，이잉기불접촉임하직업성유해인소적산례9 260례작위대조조，분별조성대렬，분석불량임신경과화임신결국여잉기직업접촉조성지간유무관련。결과현시，여대조조비교，잉기직업접촉조성，임신고혈압종합정、조산、저출생체중、궁내발육지완(IUGR)、궁축무력급산후출혈적발병솔증고，병유통계학의의。표명응용의원산과기록자료결합문권조사，가위발현직업성유해인소시부유도치불량임신경과화결국발생적위험，제공선색。
The significance of investigating the effects of occupational hazards on the course and outcome of pregnancy by using obstetrical data in hospital was explored.Obstetrical records of 12 224 primiparae in obstetrical wards of 8 hospitals in Beijing were reviewed,and each primipara was interviewed by questionnaire before discharge from hospital during May 1992 to April 1993.1 272 cases exposed to occupational noise during pregnancy were selected as the exposed group,and 9 260 cases of unexposed to any occupational hazards as the control group.The relationships between the adverse pregnancy course and outcome and the noise exposure during pregnancy were analyzed.The results showed that the incidences of pregnancy induced hypertension,prematurity,low birth weight,intra uterine growth retardation(IUGR),weak constriction of uterine and postpartum hemorrhage in the exposed group were significantly higher than those of the control group.It suggests that by obstetrical data and questionnaire of puerperae,it is possible to provide clues on whether some occupational hazards would have adverse effects on the course and outcome of the pregnancy.