妊娠期高血压疾病的相关因素与妊娠结局  

Related factors and pregnancy outcomes of hypertensive disorders in pregnancy

作　　者：姜波玲[1] 卢媛[1] 

机构地区：[1]武汉市武昌区妇幼保健所妇保科,湖北武汉430060

出　　处：《中国妇幼健康研究》2014年第3期394-396,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的分析妊娠高血压疾病的相关因素及其妊娠结局。方法采用回顾性调查法,通过病例对照分析,调查其相关因素及妊娠结局,最后进行单因素方差分析和Logistics多元回归分析。结果年龄、家庭收入、孕前体重指数、孕期不良环境暴露、孕期不良心理、孕期生活事件、孕期不良生活习惯等方面具有统计学差异(x～2值分别为6.13、11.20、26.19、12.23、13.16、6.35、8.47,均P<0.05),而文化程度、早孕反应、先兆流产、既往不良妊娠史无显著性差异(x～2值分别为3.06、2.56、0.03、1.13,均P>0.05)。家庭收入、孕前体重指数、孕期不良心理与妊娠期高血压疾病呈显著正相关(P<0.05),研究组中不良妊娠结局发生率显著高于对照组(x～2=94.911,P<0.001)。结论年龄、家庭收入、孕前体重指数、孕期生活事件、孕期不良环境暴露、孕期不良心理、孕期不良生活习惯会增加妊娠期高血压疾病的发生率,而妊娠期高血压疾病会增加不良妊娠结局风险。Objective To analyze the related factors and pregnancy outcomes of hypertensive disorders in pregnancy . Methods Retrospective case-control study was applied to explore the related factors and pregnancy outcomes of hypertensive disorders in pregnancy . Chi-square test and logistic regression analysis were conducted .Results There were significant differences in age , family income, BMI, adverse environmental exposure , adverse psychology , life events and bad living habits during pregnancy between two groups （χ^2 value was 6.13, 11.20, 26.19, 12.23, 13.16, 6.35 and 8.47, respectively, all P〈0.05）.But there were no significant differences in education , pregnancy reaction, threatened abortion and history of adverse pregnancy between two groups （χ^2 value was 3.06, 2.56, 0.03 and 1.13, respectively, all P〉0.05）.There was significantly positive correlation between hypertensive disorders in pregnancy and family income , BMI and adverse psychology （P〈0.05）.The incidence of adverse pregnancy outcomes in study group was significantly higher than that in control group （χ^2 =94.911, P〈0.001）.Conclusion Age, family income, BMI, life events, adverse environmental exposure , adverse psychology and bad living habits during pregnancy will increase the incidence of hypertensive disorders in pregnancy , and hypertensive disorders in pregnancy will increase the risk of adverse pregnancy outcomes .

关 键 词：妊娠期高血压疾病 相关因素 妊娠结局 病例对照分析 

分 类 号：R711[医药卫生—妇产科学]