CAJ | 학술논문

目的通过对早产孕妇不同的病理因素、生理因素和社会因素的分析,了解北京市部分郊区流动人口孕产妇保健状况,并能够有效的预防早产发生.方法回顾性分析279例自2004年1月至2008年12月在解放军三○六医院住院分娩的早产孕妇.包括年龄、产次、职业、户口所在地、受教育程度、产检情况、阴道炎病史、是否胎膜早破、是否患绒毛膜羊膜炎等因素与早产的关系.结果本组病例早产总发生率为5.34%(279/5228).早产有统计学意义(P＜0.05)指标为:绒毛膜羊膜炎、胎膜早破、以细菌性阴道病(BV)为主的阴道炎、未规范产检者、未受过高等教育者及流动人口、经产妇及低于法定婚者.而孕产妇职业因素与早产发生率差异无统计学意义(P＞0.05).结论无规范产检、受教育程度低、阴道炎、绒毛膜羊膜炎及胎膜早破是早产的危险因素,应针对特殊人群加强孕期教育,并在孕期积极治疗生殖道炎症.
목적 통과대조산잉부불동적병리인소、생리인소화사회인소적분석,료해북경시부분교구류동인구잉산부보건상황,병능구유효적예방조산발생.방법 회고성분석279례자2004년1월지2008년12월재해방군삼○륙의원주원분면적조산잉부.포괄년령、산차、직업、호구소재지、수교육정도、산검정황、음도염병사、시부태막조파、시부환융모막양막염등인소여조산적관계.결과 본조병례조산총발생솔위5.34%(279/5228).조산유통계학의의(P＜0.05)지표위:융모막양막염、태막조파、이세균성음도병(BV)위주적음도염、미규범산검자、미수과고등교육자급류동인구、경산부급저우법정혼자.이잉산부직업인소여조산발생솔차이무통계학의의(P＞0.05).결론 무규범산검、수교육정도저、음도염、융모막양막염급태막조파시조산적위험인소,응침대특수인군가강잉기교육,병재잉기적겁치료생식도염증.
Objective To study the health conditions of pregnant migrant women in some suburban areas of Beijing by comparing a variety of pathological, physiological and social factors and exploring the relevant factors associated with preterm birth so as to prevent effectively preterm birth. Methods A total of 279 cases of pregnancy in preterm birth at out hospital from January 2004 to December 2008 were reviewed.The date of maternal age, parity, prenatal examinations, history of vaginitis, history of chorioamnionitis,premature rupture of membranes, occupation, residing location and education status were recorded. And the relationship between them and preterm birth were analyzed by X2 test. Results The overall incidence of preterm birth was 5.34%. And the following factors had statistically significant differences with premature birth: chorioamnionitis, vaginitis, premature rupture of membranes, a lack of prenatal examinations, low education status, migrant population or maternal parity. However there was no statistical significance ( P ＞0.05) between preterm birth and other factors, such as occupation. Conclusion The incidence of preterm birth is associated with a lack of prenatal examinations, low education status, chorioamnionitis, bacterial vaginitis and premature rupture of membranes. Therefore the migrant women in Beijing should receive targeted education programs during pregnancy. And reproductive tract inflammation should be properly treated.