CAJ | 학술논문

目的：探讨早期围生保健对预防早产、降低早产发生率的影响。方法回顾性分析2002年1月2011年12月本院收治的产妇共13839例，观察和统计产妇早产的发生情况，分析其早产的相关原因，并对其相关因素进行Logistic回归分析。结果产妇中早产851例（6.10%），足月产12557例（89.94%），过期产553例（3.96%）；引起产妇早产的因素有胎位异常、前置胎盘、胎膜早破、多胎、高龄产妇、习惯性流产史及劳动强度大等，其中前3位因素主要为高龄产妇、胎膜早破和前置胎盘；Logistic回归分析显示：高龄产妇、胎膜早破和前置胎盘是前3位重要影响因素，OR值分别为23.095、12.551、9.720。结论早期围生期保健可预防早产发生，降低早产发生率，减少孕产妇不良妊娠结局的发生，值得临床参考。
목적：탐토조기위생보건대예방조산、강저조산발생솔적영향。방법회고성분석2002년1월2011년12월본원수치적산부공13839례，관찰화통계산부조산적발생정황，분석기조산적상관원인，병대기상관인소진행Logistic회귀분석。결과산부중조산851례（6.10%），족월산12557례（89.94%），과기산553례（3.96%）；인기산부조산적인소유태위이상、전치태반、태막조파、다태、고령산부、습관성유산사급노동강도대등，기중전3위인소주요위고령산부、태막조파화전치태반；Logistic회귀분석현시：고령산부、태막조파화전치태반시전3위중요영향인소，OR치분별위23.095、12.551、9.720。결론조기위생기보건가예방조산발생，강저조산발생솔，감소잉산부불량임신결국적발생，치득림상삼고。
Objective To study the early among health care effect on prevention of premature birth incidence of preterm birth. Method A retrospective analysis from January 2002 to December 2011 were women, a total of 13 839 cases, observation and statistics of the cause of premature birth, maternal, analyze the related reasons of premature birth, and the factors of suspicious related Logistic regression analysis. Result 851 cases of preterm birth occurred in women (6.10%) and term to produce 12 557 cases (89.94%), outdated production 553 cases (3.96%); cause premature maternal factors have abnormal position, placenta previa, premature rupture of membranes, multiplets, women, a history of habitual abortion and labor intensity, the top three factors are mainly women, premature rupture of membranes and placenta previa. Logistic regression analysis showed that older mothers, premature rupture of membranes and placenta previa is a former three important factors that inlfuence the OR values were 23.095, 12.551, 9.720, respectively. Conclusion The early perinatal care can prevent premature birth, reduce the incidence of preterm labor, reducing the occurrence of maternal adverse pregnancy outcomes, is worth for clinical reference.