[影响怀孕32周以下非常早产的因素:多中心回顾性研究]
Hong-Juan Wang1, Rena Maimaiti1, Yan-Ping Zhu
1Department of Neonatology, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China.
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
|September 17, 2025
概括
妊娠的高血压障碍,异常的妊娠体重增加和感染是导致新疆非常早产的关键因素. 改善高风险怀孕管理对于预防至关重要.
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
- 公共卫生 公共卫生
背景情况:
- 非常早产 (<32周孕期) 对婴儿的健康和生存构成重大风险.
- 确定区域风险因素对于有针对性的干预措施至关重要.
研究的目的:
- 调查与新疆维吾尔自治区非常早产相关的影响因素.
主要方法:
- 从新疆五家医院的4105例早产病例 (2023年1月至2024年12月) 的临床数据的回顾性分析.
- 非常早产 (<32周) 和中度/晚期早产 (32-36+6周) 组之间的风险因素比较.
主要成果:
- 妊娠的高血压疾病 (OR=1.785),过度的GWG (OR=2.002),不足的GWG (OR=1.746),胆膜炎 (OR=2.163),膜早破≥18小时 (OR=2.158) 和胎盘断裂 (OR=2.228) 是显著的危险因素.
- 不到7次产前检查 (OR=3.419) 显示最强的关联与非常早产.
结论:
- 特定的产科条件和有限的产前护理是新疆非常早产的关键风险因素.
- 加强高风险怀孕的管理对于减少非常早产的发生率至关重要.
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