论文部分内容阅读
目的探讨早产的环境危险因素,为预防和降低不良妊娠结局和婴儿死亡率提供参考依据。方法按照1∶2匹配病例-对照方法,选择2006—2007年某市早产病例153例和对照306例,进行环境危险因素调查。采用条件Logistic回归模型进行早产危险因素分析。结果在控制其他混杂因素的影响后,家庭使用非清洁燃料(即燃煤,OR=2.083,95%CI:1.126～3.855)、产前检查次数<5次(OR=2.581,95%CI:1.710～3.897)可能是早产的危险因素;家庭月收入≥4 000元(OR=0.831,95%CI:0.701～0.986)和母亲无早产史(OR=0.107,95%CI:0.013～0.911)可能是早产的保护因素。结论早产可能受到燃煤、产检、家庭经济情况及母亲早产史的影响,应有针对性地开展预防措施。
Objective To explore the environmental risk factors of preterm labor and provide a reference for preventing and reducing adverse pregnancy outcomes and infant mortality. Methods According to the 1: 2 matched case-control method, 153 cases of preterm birth and 306 cases of control in a city from 2006 to 2007 were selected to investigate the environmental risk factors. Logistic regression model was used to analyze the risk factors of preterm birth. Results After controlling for other confounding factors, households used non-clean fuels (ie coal-fired, OR = 2.083, 95% CI: 1.126 to 3.855) and prenatal visits <5 (OR = 2.581, 95% CI: 1.710 ~ 3.897) may be the risk factors for preterm birth; monthly family income ≥ 4000 yuan (OR = 0.831, 95% CI: 0.701 ~ 0.986) and no preterm birth (OR = 0.107,95% CI: 0.013 ~ 0.911) Preterm birth protection factor. Conclusions Premature labor may be affected by coal combustion, medical examination, family economic status and maternal premature delivery. Preventive measures should be carried out in a targeted manner.