CAJ | 학술논문

目的：探讨我国部分地区规范产前检查情况及其与早产儿发生的关系。方法对辽宁省两县区和四川省两县区产妇的产前检查情况及早产儿发生情况进行回顾性分析,并对数据进行统计。结果在7171名研究对象中,产检次数在5次以上的孕妇比例为88.6%,进行规范产检的孕妇比例为28.9%。早产儿发生率为4.0%,规范产检组早产儿发生率低于非规范产检组(χ2=0.015,P=0.015)。经单因素和多因素Logistic回归显示,进行规范的产检是早产儿发生的保护因素( OR=0.534,P=0.016；OR=0.631,P=0.003)。结论孕妇孕期产前检查规范性有待提高。规范的产前检查是早产儿发生的保护因素。
목적：탐토아국부분지구규범산전검사정황급기여조산인발생적관계。방법대요녕성량현구화사천성량현구산부적산전검사정황급조산인발생정황진행회고성분석,병대수거진행통계。결과재7171명연구대상중,산검차수재5차이상적잉부비례위88.6%,진행규범산검적잉부비례위28.9%。조산인발생솔위4.0%,규범산검조조산인발생솔저우비규범산검조(χ2=0.015,P=0.015)。경단인소화다인소Logistic회귀현시,진행규범적산검시조산인발생적보호인소( OR=0.534,P=0.016；OR=0.631,P=0.003)。결론잉부잉기산전검사규범성유대제고。규범적산전검사시조산인발생적보호인소。
Objective To explore the situation of normative antenatal care in some regions in China and its relationship with preterm birth. Methods A retrospective study was conducted for the situation of antenatal care and preterm birth in 4 counties and districts from Sichuan and Liaoning province, and the data were statistically analyzed. Results Information from 7 171 pregnant women showed that 88. 6% of them accepted antenatal care at least 5 times and 28. 9% of them accepted normative antenatal care. The incidence of preterm birth was 4. 0%, and that in the normative antenatal care group was lower (χ2 =0. 015,P=0. 015). Univariate and multivariate Logistic regression analysis showed that normative antenatal care was a protective factor of preterm birth (OR=0. 534,P=0. 016,OR=0. 631,P=0. 003). Conclusion The normative degree of antenatal care is needed to be improved. The normative antenatal care is a protective factor of preterm birth.