508NursingPracticeandResearch,Feb.2023,Vol.20,No.4护理实践与研究2023年2月第20卷第4期【摘要】目的探讨高龄产妇发生前置胎盘的影响因素。方法选取2019年6月—2021年11月江西省妇幼保健院产科高龄产妇140例为调查对象,收集高龄产妇年龄、体质指数(BMI)、分娩史、流产史、胎次、文化水平、户口所在地、瘢痕子宫、盆腔炎、孕期并发症等临床资料,对高龄产妇前置胎盘发生影响因素进行单因素、多因素Logistic回归分析。结果140例高龄产妇中26例发生前置胎盘。单因素分析显示,分娩史、胎次、瘢痕子宫及孕期并发症是高龄产妇发生前置胎盘的相关因素(P<0.05)。多因素Logistic回归分析显示,有分娩史、有瘢痕子宫、有孕期并发症是高龄产妇前置胎盘发生的影响因素(P<0.05)。结论高龄产妇前置胎盘发生影响因素较多,根据不同患者的特点和影响因素进行针对性干预,加强孕妇管理,做到早筛查、早诊断、早治疗,减少高龄产妇前置胎盘发生。【关键词】高龄产妇;前置胎盘;影响因素;妊娠结局;针对性干预中图分类号R473.71文献标识码ADOI:10.3969/j.issn.1672-9676.2023.04.008高龄产妇发生前置胎盘的影响因素分析基金项目:江西省卫生健康委科技计划项目(编号:20203645)作者单位:330006江西省南昌市,江西省妇幼保健院产科熊颖熊雪莲邹琴燕AnalysisofinfluencingfactorsofplacentapreviainelderlywomenXIONGYing,XIONGXuelian,ZOUQinyan(JiangxiMaternalandChildHealthHospital,Nanchang,330006,China)【Abstract】ObjectiveToexploretheinfluencingfactorsofplacentapreviainelderlywomen.MethodsToselect140elderlyobstetricalwomeninJiangxiMaternalandChildHealthHospitalfromJune2019toNovember2021wereselectedasthestudysubjects.Theclinicaldataofage,bodymassindex(BMI),deliveryhistory,abortionhistory,birthnumber,educationlevel,residencelocation,scaruterus,pelvicinflammatorydisease,pregnancycomplicationsandotherclinicaldataofelderlywomenwerecollected,andtheinfluencingfactorsofplacentapreviaintheelderlywomenwereanalyzedbysinglefactorandmultiplefactorLogisticregression.ResultsPlacentapreviaoccurredin26of140elderlyparturientwomen.Univariateanalysisshowedthattherelatedfactorsofplacentapreviainelderlywomenweredeliveryhistory,birthnumber,scaruterusandpregnancycomplications(P<0.05).Multivaria...