[1]柳晚霞.高龄孕产妇妊娠结局流行病学特点及不良妊娠结局危险因素分析[J].医学信息,2023,36(04):147-149.[doi:10.3969/j.issn.1006-1959.2023.04.030]
　LIU Wan-xia.Analysis of Epidemiological Characteristics of Pregnancy Outcome and Risk Factors of Adverse Pregnancy Outcome in Elderly Pregnant Women[J].Journal of Medical Information,2023,36(04):147-149.[doi:10.3969/j.issn.1006-1959.2023.04.030]
点击复制

高龄孕产妇妊娠结局流行病学特点及不良妊娠结局危险因素分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年04期
页码:
147-149
栏目:
论著
出版日期:
2023-02-15

文章信息/Info

Title:
Analysis of Epidemiological Characteristics of Pregnancy Outcome and Risk Factors of Adverse Pregnancy Outcome in Elderly Pregnant Women
文章编号:
1006-1959（2023）04-0147-03
作者:
柳晚霞
（湖口县妇幼保健院妇产科，江西 湖口 332500）
Author(s):
LIU Wan-xia
(Department of Obstetrics and Gynecology,Hukou Maternal and Child Health Hospital,Jiujiang 332500,Jiangxi,China)
关键词:
高龄孕产妇; 妊娠结局; 剖宫产; 多胎妊娠; 前置胎盘; 妊娠高血压
Keywords:
Elderly pregnant women; Pregnancy outcome; Cesarean section; Multiple pregnancy; Placenta previa; Gestational hypertension
分类号:
R714.2
DOI:
10.3969/j.issn.1006-1959.2023.04.030
文献标志码:
A
摘要:
目的 研究高龄孕产妇妊娠结局流行病学特点及不良妊娠结局危险因素。方法 回顾分析2018年1月-2022年3月在我院分娩的180例高龄孕产妇作为高龄组，并选取同期在我院分娩的180例适龄孕产妇为对照组，比较两组孕产妇临床资料（文化程度、妊娠合并症、并发症、孕产史、受孕方式、既往病史、孕周）、分娩方式、新生儿结局；采用多因素 Logistic 回归分析高龄孕产妇不良妊娠结局的危险因素。结果 两组孕周、受孕方式比较，差异无统计学意义（P＞0.05）；两组文化程度、既往病史、孕次、产次比较，差异有统计学意义（P＜0.05）；高龄组妊娠合并症、并发症发生率高于对照组（P＜0.05）；高龄组剖宫产率高于对照组，顺产率低于对照组（P＜0.05）；高龄组新生儿体重、巨大儿发生率大于对照组（P＜0.05）；两组新生儿窒息率、低体重儿及早产发生率比较，差异无统计学意义（P＞0.05）；多因素非条件 Logistic 回归分析显示，多胎妊娠、前置胎盘、胎儿窘迫、妊娠高血压是高龄孕产妇不良妊娠结局的独立危险因素。结论 与适龄孕产妇比较，高龄孕产妇妊娠并发症与合并症发生风险高、顺产率低，且前置胎盘、胎儿窘迫、妊娠高血压是高龄孕产妇不良妊娠结局的独立危险因素。
Abstract:
Objective To study the epidemiological characteristics of pregnancy outcomes and risk factors of adverse pregnancy outcomes in elderly pregnant women.Methods A total of 180 elderly pregnant women who gave birth in our hospital from January 2018 to March 2022 were retrospectively analyzed as the elderly group, and 180 pregnant women of the right age who gave birth in our hospital during the same period were selected as the control group. The clinical data (education level, pregnancy complications, complications, pregnancy history, conception mode, past medical history, gestational age), delivery mode and neonatal outcome were compared between the two groups. Multivariate Logistic regression was used to analyze the risk factors of adverse pregnancy outcomes in elderly pregnant women.Results There was no significant difference in gestational age and conception mode between the two groups (P>0.05). There were significant differences in education level, past medical history, pregnancy and parity between the two groups (P<0.05). The incidence of pregnancy comorbidities and complications in the elderly group was higher than that in the control group (P<0.05). The cesarean section rate in the elderly group was higher than that in the control group, and the natural delivery rate was lower than that in the control group (P<0.05). The neonatal weight and the incidence of macrosomia in the elderly group were higher than those in the control group (P<0.05). There was no significant difference in the incidence of neonatal asphyxia, low birth weight and premature delivery between the two groups (P>0.05). Multivariate unconditional Logistic regression analysis showed that multiple pregnancy, placenta previa, fetal distress and gestational hypertension were independent risk factors for adverse pregnancy outcomes in elderly pregnant women.Conclusion Compared with the age-appropriate pregnant women, the risk of pregnancy complications and comorbidities in the elderly pregnant women is high, and the rate of natural delivery is low. Placenta previa, fetal distress, and gestational hypertension are independent risk factors for adverse pregnancy outcomes in the elderly pregnant women.

参考文献/References:

[1]李盈.高龄产妇并发妊娠期高血压疾病对母婴结局的影响[J].中国药物与临床,2019,19(2):263-265.[2]杜淑玲.高龄产妇产后出血的影响因素及预防措施[J].中国计划生育学杂志,2019,27(4):530-532.[3]柴端,聂世书,汪小娟.不同年龄产妇围生期并发症、新生儿情况及分娩方式分析[J].中国妇幼保健,2019,34(8):1719-1721.[4]叶芳婷,孙秀华,叶梅慧.高龄产妇剖宫产率及其影响因素分析[J].上海医药,2019,40(6):41-43.[5]中华医学会妇产科学分会妊娠期高血压疾病学组.高龄妇女妊娠前、妊娠期及分娩期管理专家共识(2019)[J].中华妇产科杂志,2019,54(1):24-26.[6]唐大欣,朱芳,王珊.高龄孕妇妊娠结局及其影响因素分析[J].海南医学,2017,27(8):1340-1342.[7]Lean SC,Derricott H,Jones RL,et al.Advanced maternal age and adverse pregnancy outcomes:A systematic review and metaanalysis[J].PLoS One,2017,12(10):e0186287.[8]陈宇,郑晓莉,伍邵文,等.不同年龄段高龄孕产妇临床特点与妊娠结局的分析[J].中华妇产科杂志,2017,52(8):508-513.[9]张爱荣.高龄孕产妇妊娠与分娩结局的临床分析[J].包头医学院学报,2016,32(1):26-27.[10]曹晶晶.高危妊娠产妇的高危因素及治疗措施探讨[J].吉林医学,2018,39(1):161-163.[11]肖川,徐浩.高龄孕产妇妊娠并发症/合并症分布特征及其关联症状分析[J].现代预防医学,2021,48(2):363-368.[12]Maoz-Halevy E,Pariente G,Sheiner E,et al.Perinatal Outcomes of Women Aged 50 Years and Above[J].Am J Perinatol,2020,37:79-85.[13]郭赞,李芝兰,闫丹丹,等.1030例高龄产妇妊娠结局分析[J].中国初级卫生保健,2017,31(5):21-23.[14]张玲,罗春卉,王轶凡.高龄孕妇妊娠并发症及妊娠结局临床分析[J].宁夏医科大学学报,2018,40(1):93-95.[15]李云霞.高龄初产妇不良妊娠结局及其相关危险因素分析[J].江苏预防医学,2017,28(5):595-597.[16]王睁,李利,雷雪丫,等.产妇高龄对新生儿出生缺陷及生后并发症的影响[J].中国当代儿科杂志,2016,18(11):1084-1089.

相似文献/References:

[1]刘亚男.不同治疗时机行宫颈环扎术对宫颈机能不全患者的 疗效及妊娠结局的影响研究[J].医学信息,2018,31(10):101.[doi:10.3969/j.issn.1006-1959.2018.10.031]
　LIU Ya-nan.Study on the Effect of Cervical Ring Ligation in Different Time of Treatment on Patients with Cervical Incompetence and Pregnancy Outcome[J].Journal of Medical Information,2018,31(04):101.[doi:10.3969/j.issn.1006-1959.2018.10.031]
[2]马荣花,王莉云,沈源春,等.胚胎移植前宫腔内灌注hCG对FET反复着床失败患者 妊娠结局的影响[J].医学信息,2018,31(13):81.[doi:10.3969/j.issn.1006-1959.2018.13.023]
　MA Rong-hua,WANG Li-yun,SHEN Yuan-chun,et al.Effect of Intrauterine Perfusion of hCG before Embryo Transfer on Pregnancy Outcome in Patients with FET Repeated Implantation Failure[J].Journal of Medical Information,2018,31(04):81.[doi:10.3969/j.issn.1006-1959.2018.13.023]
[3]吕丽敏.优质护理干预对高危妊娠产妇心理状态及妊娠结局的影响[J].医学信息,2018,31(17):178.[doi:10.3969/j.issn.1006-1959.2018.17.057]
　LV Li-min.Effect of Quality Nursing Intervention on Psychological Status and Pregnancy Outcome of High risk Pregnant Women[J].Journal of Medical Information,2018,31(04):178.[doi:10.3969/j.issn.1006-1959.2018.17.057]
[4]杨美玲,黄荷凤.HBV暴露对子代影响的研究进展[J].医学信息,2019,32(10):32.[doi:10.3969/j.issn.1006-1959.2019.10.012]
　YANG Mei-ling,HUANG He-feng.Advances in Research on the Effects of HBV Exposure on Offspring[J].Journal of Medical Information,2019,32(04):32.[doi:10.3969/j.issn.1006-1959.2019.10.012]
[5]吴凌云.临床护理路径在妊娠期糖尿病合并妊娠期高血压患者中的应用[J].医学信息,2019,32(10):181.[doi:10.3969/j.issn.1006-1959.2019.10.061]
　WU Ling-yun.Application of Clinical Nursing Pathway in Gestational Diabetes Mellitus Complicated with Gestational Hypertension[J].Journal of Medical Information,2019,32(04):181.[doi:10.3969/j.issn.1006-1959.2019.10.061]
[6]周小花,游慧娴,马天仲.卵泡输出率的应用研究[J].医学信息,2019,32(16):23.[doi:10.3969/j.issn.1006-1959.2019.16.008]
　ZHOU Xiao-hua,YOU Hui-xian,MA Tian-zhong.Applied Research on Output Rate of Follicle[J].Journal of Medical Information,2019,32(04):23.[doi:10.3969/j.issn.1006-1959.2019.16.008]
[7]周少曼.妊娠期糖尿病孕妇血糖指标异常与妊娠结局的关系[J].医学信息,2020,33(07):111.[doi:10.3969/j.issn.1006-1959.2020.07.033]
　ZHOU Shao-man.Relationship Between Abnormal Blood Glucose Index of Pregnant Women with Gestational Diabetes and Pregnancy Outcome[J].Journal of Medical Information,2020,33(04):111.[doi:10.3969/j.issn.1006-1959.2020.07.033]
[8]阿小英.阿司匹林联合地屈孕酮治疗习惯性流产患者的效果及对凝血、免疫功能的影响[J].医学信息,2020,33(19):138.[doi:10.3969/j.issn.1006-1959.2020.19.042]
　A Xiao-ying.The Effect of Aspirin Combined with Dydrogesterone in the Treatment of Patients with Habitual Abortion and Its Influence on Blood Coagulation and Immune Function[J].Journal of Medical Information,2020,33(04):138.[doi:10.3969/j.issn.1006-1959.2020.19.042]
[9]王教香.妊娠期甲状腺功能减退对胎儿及妊娠结局的影响及防治[J].医学信息,2020,33(20):42.[doi:10.3969/j.issn.1006-1959.2020.20.012]
　WANG Jiao-xiang.The Influence of Hypothyroidism During Pregnancy on the Fetus and Pregnancy Outcome and Its Prevention[J].Journal of Medical Information,2020,33(04):42.[doi:10.3969/j.issn.1006-1959.2020.20.012]
[10]耿 炟.产科心理护理对孕产妇妊娠结局及产后抑郁情绪的影响[J].医学信息,2020,33(21):171.[doi:10.3969/j.issn.1006-1959.2020.21.054]
　GENG Da.The Effect of Obstetric Psychological Nursing on Pregnancy Outcome and Postpartum Depression[J].Journal of Medical Information,2020,33(04):171.[doi:10.3969/j.issn.1006-1959.2020.21.054]

更新日期/Last Update: 1900-01-01