首页|基于LCA法分析不同维生素D水平早期先兆流产孕妇保胎结局的影响因素分布特征

基于LCA法分析不同维生素D水平早期先兆流产孕妇保胎结局的影响因素分布特征

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目的 基于潜在类别分析(LCA)法分析不同维生素D(VD)水平孕早期先兆流产(TA)孕妇保胎结局的影响因素分布特征.方法 选取2021年1月至2022年9月于廊坊市人民医院就诊的100例早期TA孕妇作为研究对象.根据随机数字表法分为研究组(黄体酮+VD)和对照组(黄体酮),各50例.根据聚类分析(CA)法分析结果可将孕妇分为两组,即高风险组(n=25,VD≤60 nmol/L)和低风险组(n=75,VD>60 nmol/L).对比分析孕妇的临床资料及保胎结局,采用多因素Logistic回归分析其危险因素,采用LCA法探究保胎失败的影响因素的分布特征.结果 与对照组相比,研究组孕妇保胎成功率更高(P<0.05).年龄、流产次数、睡眠时间、阴道出血量、治疗方法、VD水平、孕酮(P)水平、人绒毛膜促性腺激素(hCG)水平均为保胎失败的独立影响因素(P<0.05).不同VD水平孕妇的保胎失败发生率差异显著(P<0.05).高风险组保胎失败发生率(60.00%)显著高于低风险组(13.33%)(P<0.05).与低风险组相比,高风险组中危险因素较多型分布占比更高(P<0.05).结论 不同VD水平的早期TA孕妇不仅保胎结局存在差异,且高风险和低风险组保胎失败影响因素的分布特征也存在差异.
Analysis of the distribution characteristics of influencing factors on the miscarriage prevention outcome of pregnant women with early threatened abortion with different vitamin D levels based on latent class analysis method
Objective To analyze the distribution characteristics of influencing factors on the miscarriage prevention outcome of pregnant women with early threatened abortion(TA)with different vitamin D(VD)levels based on the potential latent class analysis(LCA)method.Methods A total of 100 early TA pregnant women admitted to Langfang People's Hospital from January 2021 to September 2022 were selected as the study subjects.They were divided into study group(progesterone+VD)and control group(progesterone)by random number table method,with 50 cases in each group.According to the cluster analysis(CA)results,pregnant women can be divided into two groups,namely high-risk group(n=25,VD≤60 nmol/L)and low-risk group(n=75,VD>60 nmol/L).The clinical data and the miscarriage prevention outcome of pregnant women were compared and analyzed.Multivariable Logistic regression was used to analyze the risk factors,and LCA was used to explore the distribution characteristics of the influencing factors of fetus protection outcome.Results Compared to the control group,the study group had higher success rate in miscarriage prevention(P<0.05).Age,number of miscarriages,sleep time,vaginal bleeding volume,treatment methods,VD levels,progesterone(P)levels,and human chorionic gonadotrophin(hCG)levels were all independent influencing factors for failed miscarriage prevention(P<0.05).There was significant difference in the incidence of failed miscarriage prevention among pregnant women with different levels of VD(P<0.05).The incidence of failed miscarriage prevention in the high-risk group(60.00%)was significantly higher than that in the low-risk group(13.33%)(P<0.05).Compared to the low-risk group,the high-risk group had higher proportion of risk factors with more types of distribution(P<0.05).Conclusions Early pregnancy TA pregnant women with different levels of VD not only have differences in the miscarriage prevention outcome,but also have differences in the distribution characteristics of factors affecting the failed miscarriage prevention between high-risk and low-risk groups.

Latent class analysisVitamin DThreatened abortionOutcomes of miscarriage prevention

苑春红、于娟娟、于洋洋

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河北省廊坊市人民医院产科,河北廊坊 065000

河北省廊坊市香河县人民医院产科,河北廊坊 065000

潜在类别分析 维生素D 先兆流产 保胎结局

廊坊市科技支撑计划项目

2022013036

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(4)
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