【摘要】 为探讨应用医院产科资料进行职业性有害因素对妊娠经过和妊娠结局影响研究的价值 ,对北京市 8所医院产科病房自 1992年 5月至 1993年 4月期间住院分娩的 12 2 2 4名初产妇 ,进行了应用产科记录资料 ,并于产妇出院前做个案随访 ,进行问卷调查的方法收集资料。从中抽取孕期职业接触噪声的产例 12 72例作为研究对象 (接触组 ) ,以孕期不接触任何职业性有害因素的产例 92 6 0例作为对照组 ,分别组成队列 ,分析不良妊娠经过和妊娠结局与孕期职业接触噪声之间有无关联。结果显示 ,与对照组比较 ,孕期职业接触噪声 ,妊娠高血压综合征、早产、低出生体重、宫内发育迟缓 (IUGR)、宫缩无力及产后出血的发病率增高 ,并有统计学意义。表明应用医院产科记录资料结合问卷调查 ,可为发现职业性有害因素是否有导致不良妊娠经过和结局发生的危险 ,提供线索更多还原

【Abstract】 The significance of investigating the effects of occupational hazards on the course and outcome of pregnancy by using obstetrical data in hospital was explored.Obstetrical records of 12 224 primiparae in obstetrical wards of 8 hospitals in Beijing were reviewed,and each primipara was interviewed by questionnaire before discharge from hospital during May 1992 to April 1993. 1 272 cases exposed to occupational noise during pregnancy were selected as the exposed group,and 9 260 cases of unexposed to any occupational hazards as the control group.The relationships between the adverse pregnancy course and outcome and the noise exposure during pregnancy were analyzed.The results showed that the incidences of pregnancy induced hypertension,prematurity,low birth weight,intra uterine growth retardation(IUGR),weak constriction of uterine and postpartum hemorrhage in the exposed group were significantly higher than those of the control group.It suggests that by obstetrical data and questionnaire of puerperae,it is possible to provide clues on whether some occupational hazards would have adverse effects on the course and outcome of the pregnancy.更多还原