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目的探讨影响流动人口发生异位妊娠的危险因素,为预防流动人口异位妊娠的发生提供依据。方法选择2009年1月-2013年6月在江山市妇幼保健院治疗的发生异位妊娠的外来务工女性和在该院进行健康体检的未发生异位妊娠的外来务工女性进行比较分析。结果学历、居住环境、自然分娩次数、人工流产次数、性伴侣人数、经期性生活、性交前后清洗阴道、性生活频率、生殖道感染史、盆腔感染史、宫内节育器和生殖系统手术史是流动人口异位妊娠的影响因素,以上各因素与未发生异位妊娠的外来务工女性相比,差异有统计学意义(P<0.05),而生殖系统肿瘤则与对照组差异无统计学意义(P>0.05)。多因素Logistic回归分析结果提示:较多的人工流产次数、生殖道感染史、盆腔感染史、宫内节育器放置史和生殖系统手术史是导致流动人口异位妊娠发生的危险因素(OR>1,P<0.05)。结论针对导致流动人口异位妊娠发生的相关危险因素,加强对流动人口的生殖健康宣教,加强其对性生活的健康意识,提高收入从而改善居住环境,加强自我约束,积极治疗生殖系统的感染等是减少流动人口异位妊娠的重要措施。
Objective To explore the risk factors affecting ectopic pregnancy in floating population and provide evidence for the prevention of ectopic pregnancy in floating population. Methods A comparative study was conducted between migrant women with ectopic pregnancy and migrant women who did not have ectopic pregnancy who were treated at Jiangshan MCH in January 2009-June 2013. Results Degree of education, living environment, number of natural childbirth, number of induced abortion, number of sexual partners, menstrual sex, vaginal discharge before and after sexual intercourse, frequency of sexual life, history of reproductive tract infection, history of pelvic infection, history of IUD and reproductive system surgery The influencing factors of ectopic pregnancy in floating population were all statistically significant (P <0.05) compared with migrant women without ectopic pregnancy, while there was no significant difference between reproductive system and control group (P <0.05) P> 0.05). Multivariate Logistic regression analysis showed that the number of induced abortion, reproductive tract infection, pelvic infection, intrauterine device placement and reproductive system surgery were the risk factors for the occurrence of ectopic pregnancy (OR> 1 , P <0.05). Conclusions In view of the related risk factors of floating ectopic pregnancy, it is necessary to strengthen the missionary education on reproductive health of floating population, enhance its awareness of sexual health, improve income and improve living environment, strengthen self-restraint and actively treat reproductive system infections Is to reduce the mobile population an important measure of ectopic pregnancy.