医学信息2023，Vol.36Issue(23)：13-16,29,5.DOI:10.3969/j.issn.1006-1959.2023.23.004
二孩政策实施前后异位妊娠临床特征的变化分析
Changes of Clinical Characteristics of Ectopic Pregnancy Before and After the Implementation of the Two-child Policy
摘要
Abstract
Objective To explore the effect in implementation of two-child policy in China on the types,treatment and complication of ectopic pregnancy.Methods Patients with ectopic pregnancy who were hospitalized in Peking University Shenzhen Hospital from December 2009 to May 2021 were selected as the research objects.According to the implementation time of the two-child policy in January 2016,they were divided into the pre-two-child policy group and the after-two-child policy group.The clinical characteristics of ectopic pregnancy,age of onset,treatment methods,and the proportion of various complications were compared between the two groups.Results A total of 5572 patients were included in the study.Compared with pre-two-child policy group,the proportion of uterine scar pregnancy in the after-two-child policy group increased(P=0.000),the proportion of ectopic pregnancy in patients aged≤29 years old decreased(P=0.000),while the proportion of ectopic pregnancy in patients aged 30-39 years old increased(P=0.000),there was no significant change in the proportion of ectopic pregnancy in patients aged 40-49 years old,the proportion of laparoscopic surgery increased(P=0.000),there was no significant change in the proportion of tubal preservation surgery,the proportion of ectopic pregnancy complicated with hemorrhagic anemia decreased(P=0.000),there was no significant change in the proportion of ectopic pregnancy complicated with hemorrhagic shock.After the implementation of the two-child policy,the proportion of patients with ectopic pregnancy complicated with tubal disease,uterine disease,pelvic adhesions,and endometriosis increased(P＜0.05),while there was no significant change in proportion of patients with ovarian disease.Conclusion After the implementation of the two-child policy,the proportion of uterine scar pregnancy,the age of ectopic pregnancy,and the proportion of laparoscopic surgery have an increasing trend.Risk factors such as tubal disease,uterine disease,pelvic adhesions,and endometriosis are more common in patients with ectopic pregnancy.关键词
异位妊娠/输卵管妊娠/腹腔镜手术/子宫瘢痕部位妊娠/二孩政策Key words
Ectopic pregnancy/Tubal pregnancy/Laparoscopic surgery/Uterine scar pregnancy/Two-child policy分类
医药卫生引用本文复制引用
李璟,光晓燕,于琳,魏蔚霞,钟世林..二孩政策实施前后异位妊娠临床特征的变化分析[J].医学信息,2023,36(23):13-16,29,5.基金项目
1.深圳市高水平医院建设专项经费(编号:粤办函[2019]260号) （编号:粤办函[2019]260号）
2.深圳市医学重点学科建设经费(编号:SZXK027) （编号:SZXK027）
3.深圳市"医疗卫生三名工程"项目(编号:SZSM202011016) （编号:SZSM202011016）
4.深圳市科技计划项目(编号:JCYJ20160428172000077、JCYJ20210324110206017) （编号:JCYJ20160428172000077、JCYJ20210324110206017）
