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妊娠期孕妇发生胎膜早破的影响因素分析

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目的 探讨妊娠期孕妇发生胎膜早破的影响因素.方法 回顾性选取山东省日照市中心医院于2020年1月—2023年1月收治的100例妊娠患者的临床资料,依照是否发生胎膜早破分为两组,胎膜早破组(n=17)与非胎膜早破组(n=83),采用Logistics回归模型分析妊娠孕妇胎膜早破的独立危险因素.结果 有无妊娠期高血压(Hypertensive Disorders Complicating Pregnancy,HDCP)、有无妊娠期糖尿病(Gestational Diabetes Mellitus,GDM)、有无细菌性阴道炎、有无霉菌性阴道炎、妊娠期是否接受阴道炎治疗、白细胞介素-6(Inter-leukin-6,IL-6)及白细胞介素-8(Interleukin-8,IL-8)水平对比,差异有统计学意义(P均<0.05).GDM、细菌性阴道炎阳性、妊娠期未接受阴道炎治疗、IL-6、IL-8是妊娠期孕妇发生胎膜早破的独立危险因素(OR=2.791、2.146、2.845、2.526、1.726,P均<0.05).结论 GDM、细菌性阴道炎阳性、IL-6、IL-8与未接受阴道炎治疗为足月妊娠患者胎膜早破发生的独立影响因素.
Analysis of Influencing Factors of Premature Rupture of Membranes in Pregnant Women
Objective To investigate the influencing factors of premature rupture of membranes in pregnant women.Methods The clinical data of 100 pregnant patients admitted to Rizhao Central Hospital of Shandong Province from January 2020 to January 2023 were retrospectively analyzed.According to whether premature rupture of membranes occurred,they were divided into two groups,premature rupture of membranes group(n=17)and non-premature rup-ture of membranes group(n=83).Logistic regression model was used to analyze the independent risk factors of prema-ture rupture of membranes in pregnant women.Results The two groups of patients with gestational hypertension(HDCP),gestational diabetes mellitus(GDM),bacterial vaginosis positive,mold vaginosis positive,pregnancy whether to accept vaginitis treatment,interleukin-6(IL-6)and interleukin-8(IL-8)level comparison,the differences were sta-tistically significant(all P<0.05).GDM,bacteria vaginosis positive,not receive vaginitis treatment during pregnancy,IL-6 and IL-8 were independent risk factors for premature rupture of membranes in patients with pregnancy(OR=2.791,2.146,2.845,2.526,1.726,all P<0.05).Conclusion GDM,bacterial positive,IL-6,IL-8 and not treatment of vaginitis are independent factors affecting the occurrence of premature rupture of membranes in pregnant women.

Full term pregnancyVaginitisPremature rupture of membranesInfluencing factorsPregnancy period

吕丽、李云霞、孙元婷

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山东省日照市中心医院产科,山东 日照 276800

足月妊娠 阴道炎 胎膜早破 影响因素 妊娠期

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(19)
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