社会因素与妊娠期高血压疾病发生的临床分析  

Roles of Social Factors in the Development of Hypertensive Disorder Complicating Pregnancy

作　　者：雷红[1] 孙莉君[1] 李莉[1] 

机构地区：[1]西安电力中心医院,陕西省西安市710032

出　　处：《中国全科医学》2010年第32期3673-3674,共2页Chinese General Practice

摘　　要：目的探讨引发妊娠期高血压疾病(HDCP)的相关社会因素,为HDCP的防治提供理论依据。方法回顾性分析2006年1月—2010年12月在我院住院分娩的1681例孕产妇的临床资料,对HDCP发生的相关社会因素进行统计学分析。结果 1681例孕产妇中159例发生HDCP,发生率为9.5%。≤25岁组HDCP发生率为8.3%,26～34岁组HDCP发生率为8.8%,≥35岁组HDCP发生率为20.0%,≥35岁组HDCP发生率明显高于其他二组,差异有统计学意义(P<0.05)。城市居住组HDCP发生率为6.6%,农村居住组HDCP发生率为13.9%,农村居住组HDCP发生率明显高于城市居住组,差异有统计学意义(P<0.05);产前系统检查组HDCP发生率为1.3%,无产前系统检查组HDCP发生率为18.7%,无产前系统检查组HDCP发生率明显高于产前系统检查组,差异有统计学意义(P<0.05)。结论年龄≥35岁、农村居住、产前未通过系统查检的孕产妇是HDCP的高发人群,如果对以上因素加以重点评估和合理控制,可以减少HDCP的发生。Objective To investigate the social factors related to hypertensive disorder complicating pregnancy（HDCP）,with an attempt to provide theoretical basis for the prevention and treatment of HDCP.Methods The clinical data of 1681 cases of maternal delivery from January 2006 to December 2010 were retrospectively analyzed.The social factors that were relevant with HDCP were statistically analyzed.Results HDCP occured in 159 of 1681 mothers（9.5%）.The incidence of HDCP was 8.3% in ≤25-year-old group,8.8% in the 26～34-year-old group,and 20.0% in ≥35-year-old group.It was significantly higher in the ≥35-year-old group than the the other two groups（P〈0.05）.The incidence of HDCP was 6.6% among urban residents and 13.9% among rural residents（P〈0.05）.The incidence of HDCP was 1.3% among women who had received systematic pre-natal examiantions and 18.7% among those who had not received such services（P〈0.05）.Conclusion An age of ≥35 years,living in rural area,and non-complicance to pre-natal examinations are risk factors of HDCP and therefore should be properly avoided or addressed.

关 键 词：高血压 妊娠性 社会因素 孕产妇 

分 类 号：R714.246[医药卫生—妇产科学]