CAJ | 학술논문

目的：研究异位妊娠发生的危险因素，为提高其防治水平提供科学有力证据。方法采用Logisitic回归分析法，选取2011年3月-2013年10月在该院妇产科住院治疗140例异位妊娠患者作为研究对象，进行异位妊娠相关因素的多元回归分析。结果流产史、异位妊娠史、盆腔感染史和宫内节育器是异位妊娠发生的显著危险因素,其优势比（odds ratio，OR)及95.0%可信区间(confidence interval,CI)分别为OR=3.79,95.0% CI：2.23~6.42、OR=6.98,95.0% CI：2.64~15.53、OR=4.21,95.0%CI：2.43~7.15和OR=2.19,95.0%CI：1.21~3.98。结论加强生殖健康教育、减少非意愿妊娠和预防盆腔感染，可降低异位妊娠的风险。
목적：연구이위임신발생적위험인소，위제고기방치수평제공과학유력증거。방법채용Logisitic회귀분석법，선취2011년3월-2013년10월재해원부산과주원치료140례이위임신환자작위연구대상，진행이위임신상관인소적다원회귀분석。결과유산사、이위임신사、분강감염사화궁내절육기시이위임신발생적현저위험인소,기우세비（odds ratio，OR)급95.0%가신구간(confidence interval,CI)분별위OR=3.79,95.0% CI：2.23~6.42、OR=6.98,95.0% CI：2.64~15.53、OR=4.21,95.0%CI：2.43~7.15화OR=2.19,95.0%CI：1.21~3.98。결론가강생식건강교육、감소비의원임신화예방분강감염，가강저이위임신적풍험。
Objective To study the risk factors related to ectopic pregnancy in order to provide a scientific evidence for improving the level of prevention and treatment. Methods 140 cases of patients with ectopic pregnancy hospitalized in the Department of Obstetrics and Gynecology of our hospital from March, 2011 to October, 2013 were selected as the subjects. And logistic regression analysis method was used to analyze the factors related to ectopic pregnancy. Results The main risk factors related to ectopic pregnancy were history of abortion with the odds ratio (OR) =3.79, 95% confidence interval (CI):2.23-6.42; and history of ectopic pregnancy with OR=6.98; 95% CI: 2.64-15.53; history of pelvic infection with OR=4.21, 95% CI:2.43-7.15;the intrauterine de-vice with OR=2.19, 95%CI:1.21-3.98. Conclusion Strengthening the reproductive health education, reducing the unwanted preg-nancy and preventing pelvic infection, can reduce the risk of ectopic pregnancy.