日本足月分娩中阿氏评分低的危险因素：一项病例对照研究。
Risk factors of low APGAR score in Japanese full-term deliveries: a case-control study.
作者信息
Suka Machi, Sugimori Hiroki, Nakamura Makoto, Haginiwa Kazumoto, Yoshida Katsumi
机构信息
Department of Preventive Medicine, St Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.
出版信息
J Epidemiol. 2002 Jul;12(4):320-3. doi: 10.2188/jea.12.320.
To elucidate maternal characteristics and pregnancy complications associated with low APGAR score, a case-control study of low APGAR score was conducted under matching both gestational age and route of delivery, in full-term deliveries at a Japanese hospital with 102 cases and 204 controls. Previous induced abortion and occurrence of preeclampsia were more frequently observed in the low APGAR score cases. In the multiple conditional logistic regression analysis, each of these factors more than doubled the risk of low APGAR score. Even if only those without perinatal troubles were included in the analysis, previous induced abortion was recognized as an independent risk factor of low APGAR score (odds ratio=2.68, 95% confidence interval:1.01-7.04). Despite of the potential limitations of this study, previous induced abortion might be a useful predictor of adverse state of newborn infant.
为阐明与低阿氏评分相关的母亲特征和妊娠并发症，在一家日本医院对足月分娩的低阿氏评分进行了病例对照研究，匹配了胎龄和分娩方式，病例组102例，对照组204例。低阿氏评分组中既往人工流产和先兆子痫的发生率更高。在多因素条件逻辑回归分析中，这些因素中的每一个都使低阿氏评分的风险增加了一倍多。即使仅将无围产期问题的患者纳入分析，既往人工流产仍被认为是低阿氏评分的独立危险因素（比值比=2.68，95%置信区间：1.01-7.04）。尽管本研究存在潜在局限性，但既往人工流产可能是新生儿不良状态的一个有用预测指标。
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