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过去20年中异位妊娠的发病率明显增高,但有1/3患者的原因不明。本文报道护士中异位妊娠发生率与各种职业相关的调查结果。 调查于1987年～1988年在巴黎18所医院中进行。对象为以下两组妇女:一组为手术示教室除医生外的工作人员,另一组为其他科室按医院、性别、年龄及工龄进行配对的护士。调查内容为这些妇女的每次妊娠情况与妊娠头3个月职业性接触物的情况,前者包括分娩、自然或人工流产与异位妊娠,后者包括接触麻醉气体、甲醛溶液,离子照射及抗肿瘤药物。此次分析的对象仅包括1970年后首次妊娠护士中单胎妊娠的734例,其中异位妊娠15例(2％)。
The incidence of ectopic pregnancy has increased significantly over the past two decades, but the cause of one third of the patients is unknown. This article reports on the incidence of ectopic pregnancy in nurses and various occupational related survey results. The survey was conducted in 18 hospitals in Paris from 1987 to 1988. The subjects were two groups of women: one was a staff member other than a doctor in the operating room and the other was a nurse who was matched by hospital, sex, age and length of service in other departments. The survey included the status of each of these women’s pregnancies and occupational exposures during the first trimester, including childbirth, natural or induced abortion and ectopic pregnancies. The latter included exposure to anesthetic gases, formaldehyde solution, ionizing radiation, and resistance Oncology drugs. The analysis included only 734 singleton pregnancies among first-time pregnant nurses after 1970, with 15 (2%) ectopic pregnancies.