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先兆流产保胎治疗后不良妊娠结局发生的影响因素分析

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目的:探讨先兆流产患者保胎后不良妊娠结局的影响因素.方法:选取 2020年 7 月至2023 年2 月本院收治的先兆流产患者 96 例为研究对象,均接受保胎治疗.依据治疗后妊娠结局情况分为良好组 79 例、不良组17 例.分析比较两组临床资料.多因素 Logistic 回归分析不良妊娠结局的影响因素.结果:孕产次数、流产次数、黄体功能不全、焦虑评分、宫内大血肿、尿完整型人绒毛膜促性腺激素(Intact human chorionic gonadotropin,I-HCG)/人绒毛膜促性腺激素相关蛋白(Human chorionic gonadotropin related protein,HCGRP)阳性2 为不良妊娠结局的独立危险因素(P<0.05).结论:孕产次数、流产次数、黄体功能不全、焦虑评分、宫内大血肿、尿I-HCG/HCGRP阳性 2 为先兆流产患者保胎后不良妊娠结局的高危因素.
Analysis of influencing factors on adverse pregnancy outcomes after threatened miscarriage and conservative treatment
Objective:To explore the influencing factors of adverse pregnancy outcomes in patients with threatened miscarriage after fetal preservation.Method:A total of 96 patients with threatened miscarriage admitted to our hospital from July 2020 to February 2023 were selected as the study subjects,all of whom received prenatal care treatment.According to the pregnancy outcome after treatment,there were 79 cases in the good group and 17 cases in the bad group.Analyze and compare two sets of clinical data.Multivariate logistic regression analysis of the influencing factors of adverse pregnancy outcomes.Result:Pregnancy frequency,miscarriage frequency,luteal insufficiency,anxiety score,intrauterine hematoma,and urinary integrity type human chorionic gonadotropin(I-HCG)/human chorionic gonadotropin related protein(HCGRP)positivity were independent risk factors for adverse pregnancy outcomes(P<0.05).Conclusion:The number of pregnancies,miscarriages,luteal insufficiency,anxiety score,intrauterine hematoma,and urinary I-HCG/HCGRP positivity are high-risk factors for adverse pregnancy outcomes in patients with threatened miscarriage after pregnancy preservation.

Threatened miscarriagePregnancy outcomeFetal protection treatmentHigh risk factors

徐会齐、王洪磊、李权利

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鹤壁市妇幼保健院产科,河南 鹤壁 458000

先兆流产 妊娠结局 保胎治疗 高危因素

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(4)
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