妊娠期高血压相关影响因素分析  

Analysis of related factors effected on gestational hypertension

作　　者：张巧虹[1] 蔡归哲 陈叶敏 

机构地区：[1]湘江省丽水市中心医院妇产科,3230002 [2]浙江省缙云县壶镇镇中心卫生院

出　　处：《中国计划生育学杂志》2016年第7期458-460,共3页Chinese Journal of Family Planning

摘　　要：目的：探讨妊娠期高血压疾病的危险因素,为降低妊娠期高血压提供依据。方法：回顾性分析127例妊娠期高血压疾病患者的临床资料,采用多元logistic回归分析其危险因素;比较127例患者（研究组）和100例健康产妇（对照组）的母婴结局差异。结果：多元logistic分析显示影响妊娠期高血压疾病的危险因素有妊娠期高血压家族史（OR=1.86,95%CI 1.45~2.39）、妊娠期负性事件（OR=1.93,95%CI 1.55~2.39）和负性情绪（OR=1.86,95%CI 1.45~2.39）,而定期产检（OR=0.46,95%CI 0.30~0.69）和服用叶酸（OR=0.31,95%CI 0.24~0.40）可以降低妊娠期高血压疾病发生风险。结论：妊娠期高血压疾病其发病率与多种因素有关,应提高产检率、加强妊娠期营养、调节心理情绪等进行干预。Objective：To explore the risk factors of gestational hypertension,and to provide evidence for reducing the incidence of gestational hypertension.Method：The clinical data of 127 pregnant women with gestational hypertension were retrospectively analyzed.The risk factors were analyzed by multiple Logistic regression analysis.The maternal and infant outcomes were compared between 127patients（study group）and 100 pregnant women without gestational hypertension（control group）Result：Multivariate Logistic analysis showed that the independent risk factors for gestational hypertension were had a family history of hypertension（OR=1.862,95%CI 1.451-2.389）,gestational negative event（OR=1.927,95%CI 1.552-2.393）,and negative emotions during pregnancy（OR=1.859,95%CI 1.446-2.390）.But regular prenatal examination（OR=0.455,95%CI 0.301-0.688）,and oral folic acid pills（OR=0.312,95%CI 0.244-0.399）could reduce the incidence of gestational hypertension.Conclusion：The incidence of gestational hypertension is associated with a variety of factors.Increasing the rate of prenatal examination,strengthening nutrition and adjustment of psychological mood maybe prevent gestational hypertension.

关 键 词：妊娠期高血压疾病 产检 危险因素 叶酸 

分 类 号：R714.246[医药卫生—妇产科学]