妊娠期高血压疾病相关因素及对妊娠结局的影响  

Risk factors and effects on pregnancy outcome of hypertensive disorder complicating pregnancy

作　　者：温玉婷 邓月秀 

机构地区：[1]桂林市第二人民医院妇产科,广西541001 [2]桂林市博爱医院妇产科,广西541001

出　　处：《中国临床新医学》2017年第4期359-362,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨妊娠期高血压疾病(HDCP)相关因素及对妊娠结局的影响。方法将2009-01~2015-12该院收治的HDCP患者82例作为研究组,同期选择健康孕(产)妇82名作为对照组,分析HDCP的相关危险因素,并对比分析两组妊娠结局。结果研究组年龄≥35岁、孕前体重指数(BMI)≥25 kg/m2、经产妇、高中以下、有高血压家族史所占比例均明显高于对照组,而家庭月收入、血清钙浓度则明显低于对照组(P<0.05)。多因素Logistic回归分析显示年龄(OR=2.116,95%CI=1.207~3.618)、高血压家族史(OR=1.604,95%CI=1.305~2.573)、孕前BMI(OR=1.805,95%CI=1.298~2.324)、文化程度(OR=1.230,95%CI=0.716~1.815)为HDCP的相关危险因素。研究组剖宫产率以及低出生体重儿、新生儿窒息、早产、产后出血发生率均明显高于对照组(P<0.05)。结论年龄、高血压家族史、孕前BMI、文化程度为HDCP的相关危险因素,而HDCP会对妊娠结局产生多种不利影响。Objective To investigate the risk factors and effects on pregnancy outcome of hypertensive disorder complicating pregnancy.Methods Eighty-two women with hypertensive disorder complicating pregnancy in our hospital from January 2009 to December 2015 were selected as the research group,and eighty-two cases of health pregnant women were collected as the control group.The risk factors of hypertensive disorder complicating pregnancy were analyzed,and the pregnancy outcome was compared between the two groups.Results The proportion of the risk factors in the research group including more than 35 years old,prepregnant body mass index（BMI） ≥25 kg/m^2,multipara,below high school and hypertension family history were higher than those in the control group.Howeve the proportion of the risk factors of the family income and serum calcium concentration in the research group were signigicantly lower than those in the control group（P〈0.05）.The result of Multivariate Logistic Regression showed that age（OR = 2.116,95% CI = 1.207 - 3.618）,hypertension family history（OR = 1.604,95% CI = 1.305 - 2.573）,prepregnant BMI（OR = 1.805,95% CI = 1.298 - 2.324） and education level（OR = 1.230,95% CI = 0.716 -1.815） were the risk factors for the hypertensive disorder complicating pregnancy.The rate of cesarean section and the incidences of low birth weight fatal,neonatal asphyxia,pretermbirth and postpartum hemorrhage in the the research group were significantly higher than those in the control group（P〈0.05）.Conclusion Age,hypertension family history,prepregnant BMI and education level are the risk factors for the hypertensive disorder complicating pregnancy.Hypertensive disorder complicating pregnancy has a variety of adverse effects on the pregnancy outcome.

关 键 词：妊娠期高血压疾病 危险因素 妊娠结局 

分 类 号：R714[医药卫生—妇产科学]