首页|子宫肌瘤孕妇发生妊娠期肌瘤性疼痛综合征的影响因素及对妊娠结局影响

子宫肌瘤孕妇发生妊娠期肌瘤性疼痛综合征的影响因素及对妊娠结局影响

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目的 分析子宫肌瘤孕妇发生妊娠期肌瘤性疼痛综合征的影响因素及对妊娠结局影响.方法 395例子宫肌瘤孕妇根据是否出现妊娠期肌瘤性疼痛综合征分为病例组(74例)和对照组(321例),采用单因素分析法及多因素Logistic回归分析法分析子宫肌瘤孕妇发生妊娠期肌瘤性疼痛综合征的影响因素,另比较两组妊娠结局.结果 年龄是发生妊娠期肌瘤性疼痛综合征的影响因素,年龄每减小1岁,妊娠期肌瘤性疼痛综合征的风险增加0.911倍(OR=0.911,95%CI 0.852~0.973,P=0.006).病例组产后出血占22.38%、先兆早产占23.44%,对照组产后出血占35.69%、先兆早产占8.39%,两组产后出血、先兆早产发生率比较,P均<0.05.结论 子宫肌瘤孕妇发生妊娠期肌瘤性疼痛综合征的影响因素是年龄,肌瘤性疼痛综合征增加先兆早产的发生风险.
Risk factors for uterine leiomyoma-associated pain syndrome in pregnancy of pregnant women with uterine leiomyoma and its influence on pregnancy outcomes
Objective To evaluate the risk factors for uterine leiomyoma-associated pain syndrome in pregnancy of pregnant women with uterine fibroids and its influence on pregnancy outcomes.Methods A total of 395 pregnant women were divided into the case group of 74 cases and the control group of 321 cases according to whether uterine leiomyoma-as-sociated pain syndrome in pregnancy occurred or not.Univariate analysis and the multi-factor Logistic regression analysis was used to analyze the influencing factors for uterine leiomyoma-associated pain syndrome in pregnancy of pregnant wom-en with uterine fibroids,and additionally we compared the pregnancy outcomes of the two groups.Results Age was an influencing factor for the occurrence of uterine leiomyoma-associated pain syndrome in pregnancy and for every one-year re-duction in age,the risk of uterine leiomyoma-associated pain syndrome in pregnancy increased by 0.911 times.The rate of threatened preterm labor was higher(23.44%vs.8.39%)and the rate of postpartum hemorrhage was lower(22.38%vs.35.69%)in the case group than in the control group(all P<0.05).Conclusion Age is the influencing factor for uterine leiomyoma-associated pain syndrome in pregnancy,and the syndrome can increase the rate of threatened premature labor.

uterine leiomyomasuterine leiomyoma-associated pain syndrome in pregnancyagethreatened pre-mature labor

田玉翠、王倩、王红梅、代荫梅

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首都医科大学附属北京妇产医院/北京妇幼保健院围产医学部,北京 100026

浙江省台州市中心血站

首都医科大学附属北京妇产医院/北京妇幼保健院妇科

子宫肌瘤 妊娠期肌瘤相关性疼痛综合征 年龄 先兆早产

首都临床特色应用研究项目首都临床特色应用研究项目首都临床诊疗技术及示范应用研究项目首都医科大学附属北京妇产医院中青年学科骨干培养专项首都医科大学附属北京妇产医院北京妇幼保健院"优青人才"计划

Z111107058811031Z131107002213090Z191100006619050fcyy201613YQRC201905

2024

山东医药
山东卫生报刊社

山东医药

CSTPCD
影响因子:1.225
ISSN:1002-266X
年,卷(期):2024.64(12)
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