不良妊娠结局环境危险因素的病例对照研究

目的：研究不良妊娠结局的环境危险因素，为进一步探讨其病因及预防措施提供科学依据。方法采用1∶1配比的病例对照研究，对按全国统一诊断标准明确诊断的803例不良妊娠结局的孕产妇匹配对照后进行单因素和多因素条件logistic回归分析。结果单因素分析共筛选出14个变量是发生不良妊娠结局的危险因素；然后经过条件logistic回归分析，发现接通移动电话次数、室内装修、视频显示终端作业、被动吸烟、住房环境电磁辐射、接触振动或做剧烈运动及烹调油烟是不良妊娠结局的危险因素。结论不良妊娠结局的环境危险因素很多，应加强优生保健，减少不良妊娠结局的发生。

A case-control study on environmental risk factors of adverse pregnancy outcomes

Ob j ective To study the environmental risk factors of adverse pregnancy outcome and provide scien-tific evidence for further study on the causes and preventive measures .Methods 1∶1 matched case-control study was conducted in 803 cases of adverse pregnancy with diagnosis according to the national unified diagnostic criteria and 803 matched controls ,using univariate and multivariate conditional logistic regression analysis .Results Univa-riate conditional logistic regression analysis showed that 14 variables were risk factors for the occurrence of adverse pregnancy outcomes .Multivariate conditional logistic regression analysis showed mobile phone number ,interior dec-oration ,video display terminal work ,passive smoking ,the housing environmental electromagnetic radiation ,exposur-ing to vibration or doing strenuous exercise and cooking were risk factors for adverse pregnancy outcome .Conclusion 〈br〉 There are a lot of environmental risk factors on adverse pregnancy outcomes .We should strengthen the pregnancy health care to reduce the occurrence of adverse pregnancy outcomes .