首页|影响剖宫产瘢痕妊娠发病的相关危险因素分析

影响剖宫产瘢痕妊娠发病的相关危险因素分析

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目的 探讨剖宫产瘢痕妊娠(CSP)发病的危险因素。方法 选择安徽医科大学附属巢湖医院 2016 年5 月至 2021 年 10 月收治的确诊为CSP的 180 例患者设为观察组,同期 210 例剖宫产史再妊娠为正常宫内妊娠的患者设为对照组,收集患者的病例信息进行单因素分析和多因素logistic回归模型分析,分析CSP发病的危险因素。结果 两组患者在年龄、妊娠次数、经产次数、剖宫产次数、与末次剖宫产间隔时间方面的差异有统计学意义(P<0。05),其中既往妊娠次数、经产次数、剖宫产次数及与末次剖宫产间隔时间是发生CSP的独立危险因素(P<0。05)。结论 引起CSP的危险因素与孕产次、剖宫产次数、此次妊娠与上次剖宫产的间隔时间有关。临床医务工作者要把控相关危险因素,积极宣教,以降低CSP的发生率,维护患者健康。
Analysis of relevant risk factors affecting the onset of cesarean scar pregnancy
Objective To explore the risk factors for the onset of cesarean scar pregnancy(CSP).Methods A total of 180 patients diagnosed with cesarean scar pregnancy admitted to Chaohu Hospital of Anhui Medical University from May 2016 to October 2021 were set as the observation group,and 210 patients with normal intrauterine pregnancy with a history of cesarean during the same period were set as the control group.Case information of the patients was collected for univariate analysis and multivariate logistic regression model analysis to analyze the risk factors for the onset of CSP.Results There were statistically significant differences between the observation group and the control group in terms of age,number of pregnancies,number of labors,number of cesareans,and the interval between this pregnancy and the last cesarean(P<0.05).Among them,the number of previous pregnancies,number of labors,number of cesareans,and the interval between this pregnancy and the last cesarean were independent risk factors for the onset of cesarean scar pregnancy(P<0.05).Conclusion The risk factors for CSP are related to the number of pregnancies,number of cesareans,and the interval between this pregnancy and the last cesarean.Clinical medical workers should control relevant risk factors and actively promote education to reduce the incidence of CSP and maintain patient health.

Scar pregnancyCesareanRisk factorsClinical characteristics

张晓妍、陶群

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安徽医科大学附属巢湖医院妇科,安徽合肥 238001

瘢痕妊娠 剖宫产 危险因素 临床特征

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(2)
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