身高低于154厘米是双胞胎怀孕中肺的危险因素:一项观察性研究
Bingen Wan1, Sheng Hu1, Silin Wang1
1Department of Thoracic Surgery, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi Province, China.
Medicine
|November 13, 2024
概括
双胞胎怀孕会增加产后肺的风险,尤其是在154厘米以下的母亲身上. 较高的母亲的风险明显较低,这凸显了对较短的女性进行警监测的必要性.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 肺部医学 肺部医学
背景情况:
- 双胞胎怀孕在全球范围内越来越普遍.
- 产后肺 (PPE) 是分娩后的一种严重并发症.
- 确定双胞胎怀孕中PPE的风险因素对于母亲健康至关重要.
研究的目的:
- 分析母亲身高与双胞胎怀孕中产后肺风险之间的关联.
- 确定与个人防护设备风险增加相关的特定身高值.
- 为临床实践提供有关风险评估和预防策略的信息.
主要方法:
- 来自"DATADRYAD"数据库的数据的回顾性分析.
- 多变量物流回归分析用于评估风险因素.
- 平的曲线适合评估高度和个人防护设备的发生之间的关系.
主要成果:
- 母亲身高<154厘米与产后肺风险增加显著相关.
- 对于女性<154厘米,风险随着身高的增加而降低 (OR=0.65,P=0.0104).
- 与较矮的女性相比,身高超过154厘米的女性患PPE的风险降低了76% (P=0.0005).
结论:
- 双胞胎怀孕和身高小于154厘米的母亲面临着更高的产后肺风险.
- 医疗保健提供者应密切监测双胞胎怀孕的较矮女性是否有个人防护设备的早期迹象.
- 早期检测和干预对于防止个人防护设备在这个人群中造成严重后果至关重要.
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