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目的分析流动人口较多地区异位妊娠发生的危险因素,探讨如何降低异位妊娠的发生率。方法选取148例在江干区人民医院确诊为异位妊娠的患者和同期正常早孕妊娠的165例早孕女性的病历资料为研究对象。对调查对象的年龄、生活习惯、孕次、性生活时间、避孕方式、盆腔手术史、慢性盆腔感染史、血β-人绒毛膜促性腺激素、妊娠结局等可能影响异位妊娠的因素,采用多因素Logistic回归法进行分析,进而分析出导致异位妊娠发生的相关危险因素。结果宫内放置节育器、慢性盆腔感染史、口服紧急避孕药、异位妊娠史(OR=2.803、6.653、2.136和1.315,P均<0.05)等是导致流动人口较多地区的异位妊娠发生的危险因素。结论慢性盆腔感染史、无避孕措施、放置宫内节育器、口服紧急避孕药和不严格工具避孕等因素是导致异位妊娠发生的危险因素。在流动人口较多的地区,特别是在外来务工育龄女性聚集区,争取加强健康教育工作倡导健康的生活方式,减少妇科疾病的发生率,从源头减少EP的发生。
Objective To analyze the risk factors of ectopic pregnancy in areas with large floating populations and to explore ways to reduce the incidence of ectopic pregnancy. Methods A total of 148 cases of ectopic pregnancy diagnosed in People ’s Hospital of Jianggan District and 165 pregnant women with normal pregnancy during the same period were enrolled in this study. Factors such as age, lifestyle, pregnancy time, sex life time, contraceptive methods, history of pelvic surgery, history of chronic pelvic infection, blood β-human chorionic gonadotropin and pregnancy outcome may influence the ectopic pregnancy. Multivariate logistic regression analysis, and then analyze the risk factors leading to the occurrence of ectopic pregnancy. Results Intrauterine placement of IUDs, history of chronic pelvic infection, oral contraceptives and history of ectopic pregnancy (OR = 2.803,6.653,2.136 and 1.315, P <0.05, respectively) led to ectopic pregnancy in areas with more floating population Risk factors. Conclusion The history of chronic pelvic infection, no contraceptive measures, placement of IUDs, oral contraceptives and contraceptives are not the risk factors for ectopic pregnancy. In regions with large floating population, especially in migrant women of child-bearing age, strive to strengthen health education to promote a healthy lifestyle, reduce the incidence of gynecological diseases and reduce the occurrence of EP from the source.