CAJ | 학술논문

目的：了解不良妊娠结局的现状并探讨其主要影响因素。方法随机抽取山东省潍坊市2家医院2012年5月至2013年5月期间就诊的孕产妇共计698人，通过查阅产妇病例、新生儿出生记录、现场询问和随访获得产妇和新生儿父亲的一般情况、孕期及分娩情况等资料，应用多因素Logistic回归分析筛选妊娠结局的主要影响因素。结果不良妊娠结局的发生率为15．09％；产妇营养状况好为妊娠结局的保护性因素（OR＝2．28，95％CI：1．47～3．54，P＜0．05）；而高龄产妇、有长期服药史、产妇异常孕产史、妊娠合并症、细菌或病毒性感染、有害因素接触史、羊水异常、胎盘异常等8个因素为妊娠结局的危险因素（均P＜0．05）。结论鼓励育龄妇女在最佳生育年龄段生育；注意孕期营养均衡；减少农药等有害因素的接触；加强孕期及分娩时的健康监护工作，特别是注意预防感染和妊娠合并症，防止胎盘异常和羊水异常等。
목적：료해불량임신결국적현상병탐토기주요영향인소。방법수궤추취산동성유방시2가의원2012년5월지2013년5월기간취진적잉산부공계698인，통과사열산부병례、신생인출생기록、현장순문화수방획득산부화신생인부친적일반정황、잉기급분면정황등자료，응용다인소Logistic회귀분석사선임신결국적주요영향인소。결과불량임신결국적발생솔위15．09％；산부영양상황호위임신결국적보호성인소（OR＝2．28，95％CI：1．47～3．54，P＜0．05）；이고령산부、유장기복약사、산부이상잉산사、임신합병증、세균혹병독성감염、유해인소접촉사、양수이상、태반이상등8개인소위임신결국적위험인소（균P＜0．05）。결론고려육령부녀재최가생육년령단생육；주의잉기영양균형；감소농약등유해인소적접촉；가강잉기급분면시적건강감호공작，특별시주의예방감염화임신합병증，방지태반이상화양수이상등。
Objective To investigate the current status of adverse pregnancy outcomes and their major influencing factors .Methods Totally 698 pregnant women visiting hospital were randomly selected from 2 hospitals in Shandong Weifang from May 2012 to May 2013.The general situation of newborns ’ mother and father , pregnancy and delivery data were obtained through maternal clinical records , birth records, on-the-spot inquiry and follow-up.Multiple logistic regression analysis was conducted to screen the major influencing factors of pregnancy outcomes .Results The incidence of adverse pregnancy outcomes was 15.09%.Good maternal nutritional status was protective factor of pregnancy outcomes (OR=2.28, 95%CI:1.47-3.54, P<0.05).Risk factors included advanced maternal age , long-term medication history , maternal history of abnormal pregnancy , pregnancy complications , bacterial or viral infection , history of exposure to harmful factors, abnormal amniotic fluid and placenta (all P<0.05).Conclusion Childbearing women are advocated to deliver at best childbearing age .Maternal nutrition should be balanced , and exposure to harmful factors such as pesticide should be reduced .Health care during pregnancy and childbirth needs to be emphasized , and special attention should be paid to the prevention of infection , pregnancy complications , abnormal placenta and amniotic fluid abnormality .