转化医学杂志2025，Vol.14Issue(1)：84-87,168,5.DOI:10.3639/i.issn.2095-3097.2025.01.018
基于Logistic回归的产后出血患者子宫动脉栓塞术后生活质量影响因素分析
Analysis of Factors Affecting the Quality of Life of Postpartum Hemorrhage Patients after Uterine Artery Embolization Based on Logistic Regression
摘要
Abstract
Objective To observe the factors affecting the quality of life of postpartum hemorrhage patients after uterine artery embolization(UAE)using logistic regression.Methods A total of 147 postpartum hemorrhage patients who underwent UAE in the Department of Obstetrics,Tangshan Maternal and Children Health Hospital from January 2021 to March 2024 were collected as the research subjects.Age,parity,body mass index(BMI),gestational age,cause of bleeding,amount of bleeding,mode of delivery,UAE side,number of UAEs,intrauterine gauze packing,scarred uterus,soft birth canal injury,surgical time,embolization material,postoperative complications,postoperative ground activity time,postoperative complications,preoperative negative emotions,postpartum depression,social support,feeding method,and quality of life at 3 months after surgery were recorded.Chi-square test and multivariate logistic regression analysis were applied to screen risk factors affecting the quality of life.Results Univariate analysis showed that age,BMI,gestational age,and intrauterine gauze packing had no significant effect on the 36-Item Short-Form(SF-36)score(P>0.05),while parity,bleeding cause,bleeding volume,mode of delivery,UAE side,UAE frequency,soft birth canal injury,surgery time,postoperative complications,postoperative outdoor activity time,prenatal anxiety,prenatal depression,postpartum depression,social support,and breastfeeding had significant effects on the SF-36 score(P<0.05).The Results of multivariate logistic analysis showed that bleeding volume,number of UAE events,soft birth canal injury,postoperative complications,prenatal depression,and prenatal anxiety were risk factors for poor quality of life after UAE(P<0.05),while social support was a protective factor for poor quality of life after UAE(P<0.05).Conclusion Bleeding volume,frequency of UAE,soft birth canal injury,postoperative complications,prenatal depression,prenatal anxiety,etc.are risk factors for poor postoperative quality of life in postpartum hemorrhage patients treated with UAE.Social support is a protective factor for poor postoperative quality of life in postpartum hemorrhage patients treated with UAE.关键词
产后出血/子宫动脉栓塞术/生活质量/Logsitic回归/影响因素Key words
Postpartum hemorrhage/Uterine artery embolization/Quality of life/Logistic regression/Influence factor分类
医药卫生引用本文复制引用
张翠杰,周巾,程向童..基于Logistic回归的产后出血患者子宫动脉栓塞术后生活质量影响因素分析[J].转化医学杂志,2025,14(1):84-87,168,5.基金项目
2022年度河北省医学科学研究课题计划(20221744) （20221744）
