异位妊娠的危险因素研究

目的分析20年来异位妊娠发病率的变化,调查2010年异位妊娠发病相关因素,以期能间接反映该院所属地区发病情况,提供有效的防范措施。方法收集延边妇幼保健院1990～2010年异位妊娠与分娩、妊娠、妇科住院人数,分析异位妊娠发病率的变化;整理2010年261例异位妊娠临床资料,调查其发病相关因素。结果异位妊娠发病率1990年为0.41%,2010年为4.82%,其发病率差异有统计学意义(P<0.01)。相关因素中,宫腔手术史、盆腔炎史、剖宫产史、盆腔手术史、前次异位妊娠史等相关性较强。结论异位妊娠发病率在升高,引发的原因与多种因素相关,加强对妇女的性健康教育,培养健康的生活方式,指导避孕措施,及时治疗盆腔炎症,医疗人员减少剖宫产率,增强无菌操作观念等可减少异位妊娠的发生。

Study on ectopic pregnancy risk factors

Objective To analyze the changes of 20 years in the incidence of ectopic pregnancy,the incidence of ectopic pregnancy in 2010 survey related factors,with a view to indirectly reflect the incidence of hospital-owned areas,and provide effective preventive measures.Methods Maternal and child health hospital of Yanbian in 1990 and 2010,ectopic pregnancy and childbirth,pregnancy,gynecological hospital admissions,analysis of changes in the incidence of ectopic pregnancy;finishing in 2010 261 cases of ectopic pregnancy clinical data,to investigate the factors related.Results The incidence of ectopic pregnancy in 1990 was 0.41%,4.82% in 2010,its incidence has significantly different (P<0.01).Relevant factors,history of uterine surgery,history of pelvic inflammatory disease,history of cesarean section,pelvic surgery,previous history of ectopic pregnancy and other related strong.Conclusion The increased incidence of ectopic pregnancy,causing a variety of factors related to the causes and to strengthen women’s sexual health education,healthy lifestyle,contraception guidance and timely treatment of pelvic inflammatory disease,the medical staff to reduce the cesarean section rate enhance the concept of such aseptic reduce the incidence of ectopic pregnancy.