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目的:调查分析肌瘤流产的相关因素,为采取积极措施提高优生优育质量且减轻育龄妇女身心痛苦提供依据。方法:本研究回顾性分析我院2011年2月~2013年4月期间收治的286例肌瘤流产患者的临床资料,并和同期286例正常孕妇进行对比,分析稽留流产主要的病因和相关因素如年龄、孕期用药史、孕期辐射暴露、动物暴露、饮酒、吸烟、流产次数、取环术停服避孕药、孕前检查等。结果:通过分析,内分泌异常、异常孕产史、妊娠合并内外科疾患、环境因素等为导致稽留流产的主要病因,年龄、孕期辐射暴露、饮酒、吸烟、流产次数、取环术停服避孕药、孕前检查等为稽留流产的危险因素(P<0.05),动物暴露、孕期用药史不是稽留流产的危险因素(P>0.05)。结论:稽留流产孕妇早期症状不显著,传统药物疗效不佳,清宫术等又存在出血量大、痛苦大等不足,由此,对稽留流产的干预主要以预防为主,大力提倡孕前检查、加强健康宣教,对减少稽留流产的发生和减轻育龄妇女身心痛苦,保证优生优育质量具有极为重要的临床意义。
Objective: To investigate and analyze the related factors of fibroids miscarriage, and provide the basis for taking active measures to improve the quality of prenatal and postnatal care and reduce the physical and psychological suffering of women of childbearing age. Methods: This study retrospectively analyzed the clinical data of 286 cases of fibroids abortion treated in our hospital from February 2011 to April 2013 and compared with 286 normal pregnant women in the same period, and analyzed the main etiology and related factors of missed abortion Such as age, medication during pregnancy, radiation exposure during pregnancy, animal exposure, alcohol consumption, smoking, abortion frequency, taking epicanthus withdrawal contraceptives, pre-pregnancy checks. Results: The main causes of missed abortion, age, radiation exposure during pregnancy, alcohol consumption, smoking and miscarriage were analyzed by means of analysis, endocrine abnormalities, abnormal pregnancy history, pregnancy and surgical diseases, and environmental factors. , Pre-pregnancy check-ups were the risk factors of missed abortion (P <0.05). The exposure of animals and the medication during pregnancy were not risk factors of missed abortion (P> 0.05). Conclusion: The early symptoms of missed abortion pregnant women are not significant, traditional medicine curative effect is poor, the curettage and so on there are bleeding, painful and other shortcomings, therefore, the main intervention for missed abortion intervention mainly to promote pre-pregnancy examination, to strengthen Health education, to reduce the occurrence of abortion and reduce the physical and mental suffering of women of childbearing age, to ensure the quality of prenatal and postnatal care has a very important clinical significance.