Logistic reg ression analysis of risk factors of spontaneous abortion in pregnant women with polycystic ovary syndrome after treatment

Ji Xiuxiang; Yin Feige; Lu Yuting

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Logistic reg ression analysis of risk factors of spontaneous abortion in pregnant women with polycystic ovary syndrome after treatment

更新时间：2022-11-04

- Logistic reg ression analysis of risk factors of spontaneous abortion in pregnant women with polycystic ovary syndrome after treatment
- Health Medicine Research and Practice Vol. 19, Issue 2, Pages: 60-62(2022)
- 作者机构：
  
  1. 新安县人民医院妇产科
  2. 河南省漯河市中医院内科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R711.75;R714.21
- Published：2022，
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Ji Xiuxiang, Yin Feige, Lu Yuting. Logistic reg ression analysis of risk factors of spontaneous abortion in pregnant women with polycystic ovary syndrome after treatment. [J]. Health Medicine Research and Practice 19(2):60-62(2022)
DOI：

Ji Xiuxiang, Yin Feige, Lu Yuting. Logistic reg ression analysis of risk factors of spontaneous abortion in pregnant women with polycystic ovary syndrome after treatment. [J]. Health Medicine Research and Practice 19(2):60-62(2022) DOI：

摘要

目的探讨多囊卵巢综合征(PCOS)治疗后妊娠患者自然流产的影响因素。方法选取2019年6月—2020年7月河南省某医院收治的经常规治疗后妊娠的PCOS患者为研究对象。将发生自然流产的患者纳入自然流产组;未发生自然流产的患者纳入分娩组。记录所有患者自然流产发生情况;询问并记录患者基线资料

将可能的影响因素纳入单因素分析

再将具有统计学意义的因素纳入Logistic回归分析。结果 81例PCOS治疗后妊娠患者中自然流产25例

自然流产率为30.86%(25/81)。自然流产组患者体质量指数(BMI)、促黄体生成素(LH)水平均高于分娩组

合并胰岛素抵抗占比高于分娩组

差异均有统计学意义(P<0.05);Logistic回归分析结果显示:高BMI、高LH水平、合并胰岛素抵抗为PCOS治疗后妊娠患者自然流产的独立危险因素(P<0.05)。结论 PCOS治疗后妊娠患者自然流产风险较高

且高BMI、高LH水平、合并胰岛素抵抗为患者自然流产的独立危险因素

临床上应针对此进行相应干预

降低自然流产风险。

Abstract

Objective To explore the influencing factors of spontaneous abortion in pregnant women with polycystic ovary syndrome（PCOS） after treatment. Methods Patients with PCOS after routine treatment from a hospital in Henan Province from June 2019 to July 2020 were selected as the objects of study. The patients with spontaneous abortion were included in the spontaneous abortion group

and the patients without spontaneous abortion were included in the delivery group. The occurrence of spontaneous abortion in all patients was recorded; and the baseline data of patients was enquired and recorded. The possible influencing factors were included in single factor analysis

and then the statistically significant factors were included in Logistic regression analysis. Results Among the 81 pregnant cases after PCOS treatment

25 cases had spontaneous abortion

and the rate of spontaneous abortion was 30.86%（25/81）. The body mass index（BMI） and luteinizing hormone（LH） levels in the spontaneous abortion group were higher than those in the delivery group

and the proportion of insulin resistance in the spontaneous abortion group was significantly higher than that in the delivery group（P<0.05）.The results of Logistic regression analysis showed that high BMI

high LH level and insulin resistance were independent risk factors for spontaneous abortion after PCOS treatment（P<0.05）. Conclusion After PCOS treatment

the risk of spontaneous abortion is higher in pregnant women

and high BMI

high LH level and insulin resistance are independent risk factors of spontaneous abortion. Clinical intervention should be carried out to reduce the risk of spontaneous abortion.

关键词

多囊卵巢综合征妊娠自然流产胰岛素抵抗黄体生成素

Keywords

Polycystic ovary syndromePregnancySpontaneous abortionInsulin resistanceLuteinizing hormone

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