CAJ | 학술논문

目的：探讨晚期早产发生的母源性影响因素。方法选取2012年1月至2013年12月住院分娩的970例晚期早产产妇为研究对象，并以同期早期早产（207例）和全部足月产（11985例）产妇为对照，比较分析晚期早产的母源性影响因素。结果年龄＜20岁、外来流动人口、小学及以下文化程度、无业人员、双胎妊娠、无定期产前检查、胎膜早破、前置胎盘、胎盘早剥、妊娠合并肝内胆汁淤积与晚期早产和早期早产均有关（P＜0.01）；流产次数≥3次、胚胎移植术妊娠、妊娠合并高血压与晚期早产有关（P＜0.05、0.01）；妊娠合并贫血与早期早产有关（P＜0.01）。结论除早产共有的影响因素外，流产次数≥3次、胚胎移植术妊娠、妊娠合并高血压是晚期早产独有的母源性因素，应采取针对性的措施减少和预防晚期早产的发生。
목적：탐토만기조산발생적모원성영향인소。방법선취2012년1월지2013년12월주원분면적970례만기조산산부위연구대상，병이동기조기조산（207례）화전부족월산（11985례）산부위대조，비교분석만기조산적모원성영향인소。결과년령＜20세、외래류동인구、소학급이하문화정도、무업인원、쌍태임신、무정기산전검사、태막조파、전치태반、태반조박、임신합병간내담즙어적여만기조산화조기조산균유관（P＜0.01）；유산차수≥3차、배태이식술임신、임신합병고혈압여만기조산유관（P＜0.05、0.01）；임신합병빈혈여조기조산유관（P＜0.01）。결론제조산공유적영향인소외，유산차수≥3차、배태이식술임신、임신합병고혈압시만기조산독유적모원성인소，응채취침대성적조시감소화예방만기조산적발생。
Objective To investigate the mother-related factors of late preterm births.Methods A case-control study of mother-related factors for late preterm births from January 2012 to December 2013 was performed, 970 women with late preterm birth as the case group, 207 women with early preterm birth and 11985 women with term birth as the control group.Results Age below 20 years old, the lfoating population, primary school education, the unemployed, twin pregnancies, without regular prenatal examination, premature rupture of fetal membranes, placenta praevia, placental abruption and pregnancy with intrahepatic cholestasis were associated with late preterm birth and early preterm birth(P<0.01). More than 3 abortion, regnancy embryo thansplantation and pregnancy with hypertension were associated with late preterm birth(P<0.05 and 0.01). Pregnancy with anemia was associated with early preterm birth(P<0.01).Conclusion In addition to the common inlfuencing factors of preterm birth, more than 3 abortion, regnancy embryo transplantation and pregnancy with hypertension are mother-related factors of late preterm birth, more attention and prevention should be paid to mother-related factors.