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伤害医学(电子版)
“中国核心期刊(遴选)数据库”收录期刊
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中国学术期刊影响因子年报统计源期刊
伤害医学  2012, Vol. 1 Issue (1): 16-24   https://doi.org/10.3868/j.issn.2095-1566.2012.01.004
  论著 本期目录
孕期非故意伤害住院治疗与婴儿的不良出生结局:出生前受伤对出生结局是否有影响?
Lawrence T Lam1,2*,Maryk Lam3
1.澳大利亚圣母大学悉尼医学院
2.悉尼医学院儿科与儿童健康学科
3.悉尼大学健康科学学院
孕期非故意伤害住院治疗与婴儿的不良出生结局:出生前受伤对出生结局是否有影响?
 全文: PDF(8684 KB)  
摘要:目的:探讨孕期受伤对婴儿出生结局的影响, 调查伤害发生的时间对不良出生结局风险的作用。方法:在澳大利亚新南威尔士州选择2003年内生育一胎的妇女作为研究对象, 应用数据连接技术对二手数据进行Logistic多因素回归分析。在ICD-10-AM诊断为孕期受伤的患者中选取同时发生受伤与分娩的患者, 通过日常记录资料, 收集低出生体重、早产、出生后1分钟内低Apgar评分、有复苏需要、收入新生儿重症监护病房(NICU)或特殊托儿所(SCN)以及死亡率的信息。主要观察指标:应用ICD-10-AM的病历治疗获得孕期受伤的患者, 从病历资料中选取同时发生受伤与分娩的患者, 通过日常记录资料, 收集低出生体重、早产、出生后1分钟内低Apgar评分、有复苏需要、收入新生儿重症监护病房(NICU)或特殊托育所(SCN)以及死亡率的信息。结果:校正潜在的混杂因素后, 母亲在孕期受伤的早产婴儿是对照组婴儿的1.36倍(OR=1.36, 95%CI=1.01~1.83)。母亲孕期受伤的低出生体重儿的几率比对照组增加了40%(OR=1.38, 95%CI=1.00~1.90), 被收治入SCN的几率增加了50% (OR=1.50, 95%CI=1.18~1.81)。母亲因受伤入院治疗而出生的婴儿与母亲在产前曾受伤的婴儿, 其出生结局之间没有统计学意义, 出生结局包括低出生体重(OR=1.08, 95%CI=0.62~1.93)与早产(OR=1.20, 95%CI=0.57~2.55)。结论:孕期受伤, 无论产前何时受伤都会增加婴儿不良出生结果的风险, 尤其是低体重儿、早产儿和收治入特殊托育所者。
关键词 非故意伤害孕期出生结局基于人群数据连接    
出版日期: 2015-04-21
 引用本文:   
Lawrence T Lam,Maryk Lam. 孕期非故意伤害住院治疗与婴儿的不良出生结局:出生前受伤对出生结局是否有影响?[J]. 伤害医学, 2012, 1(1): 16-24.
 链接本文:  
https://academic.hep.com.cn/im/CN/Y2012/V1/I1/16
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