CAJ | 학술논문

目的：探析妊娠早期不良结局的相关影响因素。方法选择2014年1月至2014年10月我院收治的阴道出血或停经就诊而尿妊娠试验为阳性的患者50例为研究对象,根据妊娠结局分为两组,其中正常对照组20例,不良妊娠组30例。记录两组患者的临床资料,比较两组妊娠早期不良结局的相关影响因素。结果不良妊娠组的30例患者中,20例为异位妊娠,2例为过期流产,5例为完全流产,3例为不全流产。不良妊娠组患者阴道出血、不良生活习惯、高体重指数、不良孕产史等发生率均明显高于对照组患者,差异具有统计学意义(P＜0.05)。结论阴道出血是妊娠早期不良结局的主要临床表现,导致妊娠早期不良结局的相关因素有很多,其中包括不良生活习惯、高龄、不良孕产史以及高体重指数等,应该掌握患者的实际情况,早检查、早发现、早治疗,尽量降低出现不良妊娠结局的几率。
목적：탐석임신조기불량결국적상관영향인소。방법선택2014년1월지2014년10월아원수치적음도출혈혹정경취진이뇨임신시험위양성적환자50례위연구대상,근거임신결국분위량조,기중정상대조조20례,불량임신조30례。기록량조환자적림상자료,비교량조임신조기불량결국적상관영향인소。결과불량임신조적30례환자중,20례위이위임신,2례위과기유산,5례위완전유산,3례위불전유산。불량임신조환자음도출혈、불량생활습관、고체중지수、불량잉산사등발생솔균명현고우대조조환자,차이구유통계학의의(P＜0.05)。결론음도출혈시임신조기불량결국적주요림상표현,도치임신조기불량결국적상관인소유흔다,기중포괄불량생활습관、고령、불량잉산사이급고체중지수등,응해장악환자적실제정황,조검사、조발현、조치료,진량강저출현불량임신결국적궤솔。
Objective To investigate the related influencing factors of adverse outcomes in early pregnancy. Methods 50 cases of patients with positive urine pregnancy test treated in our hospital because of vaginal bleeding and menopause from January 2014 to October 2014 were selected as research subjects. All patients were divided into control group (20 cases) and adverse pregnancy group (30 cases) according to the pregnancy outcomes. The clinical data of patients in two groups were recorded, and the related influencing factors of adverse outcomes in early pregnancy were compared between two groups. Results 30 patients in adverse pregnancy group included 20 cases of ectopic pregnancy, 2 cases of missed abortion, 5 cases of complete abortion and 3 cases of incomplete abortion. The incidence of vaginal bleeding, unhealthy living habits, high body mass index (bmi), history of abnormal pregnancy of patients in adverse pregnancy group were significantly higher than those of patients in control group, with statistically significant difference (P<0.05). Conclusions Vaginal bleeding is the major clinical manifestation of adverse outcomes in early pregnancy. There are many related influencing factors leading to adverse outcomes in early pregnancy, including unhealthy living habits, advanced age, abnormal gestation and high body mass index (BMI). We should grasp the actual situations of patients, and early examination, early detection, early treatment can help reduce the risk of adverse pregnancy outcomes.