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目的探讨异位妊娠发生的影响因素,为预防异位妊娠的发生提供理论参考依据。方法采用患者对照研究,选取2011年12月-2012年5月期间芜湖某两医院收治的71例异位妊娠患者作为病例组,按1:2的比例选取同期住院的142例正常妊娠者作为对照组,调查其既往生活习惯、婚育状况、疾病手术史和焦虑情况等。结果患者组和对照组的焦虑检出率分别为56.34%、20.42%,差异具有统计学意义(χ2=27.88,P<0.01)。多因素非条件Logistic回归分析显示焦虑(OR=6.08,P<0.01)、妇科炎症史(OR=8.39,P<0.01)、宫内节育器史(OR=6.92,P<0.01)、流产史(OR=5.88,P=0.03)及被动吸烟(OR=6.58,P<0.01)是导致异位妊娠发生的危险因素,月经规律(OR=0.28,P<0.01)为保护性因素。结论对计划生育者进一步加大心理辅导力度,并开展与异位妊娠相关的孕期健康教育,能有效减少异位妊娠的发生几率。
Objective To investigate the influencing factors of ectopic pregnancy and provide a theoretical reference for the prevention of ectopic pregnancy. Methods A control study was conducted in 71 patients with ectopic pregnancy admitted to a hospital in Wuhu from December 2011 to May 2012. A total of 142 normal pregnant women in the same period were selected as the control group according to the ratio of 1: 2 Group, to investigate their past habits, status of marriage and childbearing, disease surgery history and anxiety situation. Results The prevalence of anxiety in patients and controls were 56.34% and 20.42%, respectively, with significant difference (χ2 = 27.88, P <0.01). Multivariate non-conditional logistic regression analysis showed that anxiety (OR = 6.08, P <0.01), gynecological inflammation (OR = 8.39, P <0.01), history of IUD (OR = 6.92, OR = 5.88, P = 0.03) and passive smoking (OR = 6.58, P <0.01) were the risk factors of ectopic pregnancy, and the regularity of menstruation (OR = 0.28, P <0.01) was the protective factor. Conclusions The further increase of psychological counseling for family planning workers and the health education during pregnancy related to ectopic pregnancy can effectively reduce the incidence of ectopic pregnancy.