石家庄市4431例孕产妇妊娠并发症发病率及因素分析  

The morbidity and risk factors of 4431 pregnant and puerperal women's pregnancy complications in Shijiazhuang

作　　者：刁英飞 刘展[1] 冯冬颖 周美琪[1] 葛军[2] 马玉霞[1] 

机构地区：[1]河北医科大学公共卫生学院,河北石家庄050017 [2]石家庄市妇产医院,河北石家庄050017

出　　处：《现代预防医学》2016年第16期2938-2941,2983,共5页Modern Preventive Medicine

基　　金：河北省卫计委项目(项目号:20150181)

摘　　要：目的了解石家庄市孕产妇妊娠并发症的发病现状以及影响其发病的相关因素,为制定预防妊娠并发症发生的有效措施提供理论依据。方法以2015年6月-9月在石家庄市某医院分娩的孕产妇为研究对象,收集其基本信息及妊娠并发症的发病状况,并分析其相关影响因素。结果 4 431例孕产妇的妊娠糖尿病、妊娠高血压、妊娠期贫血和妊娠合并甲减的发病率分别为8.4%、6.1%、47.4%、5.4%。多因素分析结果显示,年龄、居住地、孕前BMI以及孕期增重仍是妊娠糖尿病的影响因素(P≤0.05);不同居住地、孕前BMI以及孕期增重影响妊娠高血压、妊娠期贫血的发病,较无业者,科教文卫、个体及自由职业及其他职业者高血压发病风险低(P≤0.05),个体及自由职业及其他职业者较无业者贫血发病风险低(P≤0.05);不同居住地对妊娠合并甲减的影响仍有统计学意义(P≤0.05)。结论石家庄市孕产妇不同妊娠并发症的发病率均处于较高水平;年龄、居住地、职业、孕前BMI以及孕期增重都会不同程度地影响各种妊娠并发症的发病率。Objective The aim of this study was to explore the morbidity of pregnancy complications among pregnant and puerperal women in Shijiazhuang, and ascertain the risk factors for the complications, formulate effective measures to prevent the incidence of pregnancy complications. Methods The pregnant women who had delivered from June to September 2015 in one hospital in Shijiazhuang were selected as the study subjects. This study collected the basic information and the morbidity of pregnancy complications, and analyzed its related factors. Results The morbidity rates for gestational diabetes,hypertension, anemia and hypothyroidism during pregnancy were 8.4%, 6.1%, 47.4% and 5.4% respectively among 4431 pregnant and puerperal women. The multi-factor analysis showed that age, region, pre-pregnancy BMI and weigh gain during pregnancy also influenced gestational diabetes（P ≤0.05）. The region, pre-pregnancy BMI and weight gain during pregnancy were found to be associated with hypertension and anemia during pregnancy（P ≤0.05）. The risk of gestational hypertension was lower in the science-education-culture-health occupation group, individual and freelance group and other occupation group than unemployed group. The risk of gestational anemia was lower in the individual and freelance group and other occupation group than unemployed group. The region of the participants also served as a risk factor for hypothyroidism during pregnancy（P≤0.05）. Conclusion The morbidity rates of pregnancy-related complications among first time pregnant women and puerperal mothers in Shijiazhuang were higher. Factors such as age, region, occupation, pre-pregnancy BMI and weight gain during pregnancy had various degrees of influence on pregnancy complications.

关 键 词：孕产妇 妊娠并发症 发病率 影响因素 

分 类 号：R711[医药卫生—妇产科学]