引起妊娠期高血压疾病相关因素及临床预防措施  

Related Factors and Clinical Preventive Measures for Hypertensive Disorders in Pregnancy

作　　者：周崇英 ZHOU Chong-ying(Department of Obstetrics and Gynecology,Luzhi District People＇s Hospital,Suzhou,Jiangsu Province,215127 China)

机构地区：[1]江苏省苏州市吴中区甪直人民医院妇产科,江苏苏州215127

出　　处：《系统医学》2018年第20期120-122,共3页Systems Medicine

摘　　要：目的探讨引起妊娠期高血压疾病相关因素及临床预防对策。方法 2016年1月—2017年12月该院住院的50例妊娠期高血压疾病患者(观察组),选择同期相同辖区住院的健康孕妇50名作为对照组,对这100例孕产妇病历进行整理与分析,比较相关因素上的差异。结果观察组年龄≥30岁52.00%、初产妇96.00%、未定期产前检查38.00%、未补充钙元素44.00%、体重指数≥27.00 kg/m^2 46.00%、接受教育时间<10年46.00%、孕期情绪不良38.00%、经济状况差32.00%、高血压家族史16.00%高于对照组24.00%、80.00%、14.00%、22.00%、30.00%、24.00%、20.00%、16.00%、4.00%(χ~2=9.02、4.14、5.32、5.56、4.08、5.28、4.86、4.52、4.04,P<0.05),Logistic回归分析影响妊娠期高血压疾病影响因素:年龄≥30岁(OR=4.20,95%CI:1.30～24.16)、未定期产前检查(OR=4.11,95%CI:1.08～22.39)、未补充钙元素(OR=3.85,95%CI:1.24～19.18)、接受教育时间<10年(OR=2.93,95%CI:1.48～18.38)。结论导致妊娠期高血压疾病产生的危险因素复杂,应依据各项因素分别制定相关的防治措施,以降低妊娠期高血压疾病的发生。Objective To explore the related factors and preventive rueasures for hypertension caused by pregnancy. Methods From January 2016 to December 2017, 50 patients with hypertensive disorder complicating pregnancy in the hospital （observation group）, 50 healthy pregnant women hospitalized in the same jurisdiction were selected as the con- trol group, and the 100 maternal medical records were sorted out. Analyze and compare the differences in related fac- tors. Results Observation group age ≥ 30 years old 52.00%, primipara 96.00%, untimely prenatal check 38.00%, un- supplemented calcium 44.00%, body mass index ≥ 27.00 kg/m2 46.00%, education time 〈10 years 46.00%, pregnancy 38.00% of bad mood, 32.00% of poor economic status, 16.00% of family history of hypertension were higher than the control group 24.00%, 80.00%, 14.00%, 22.00%, 30.00%, 24.00%, 20.00%, 16.00%, 4.00% （X2=9.02, 4.14, 5.32, 5.56, 4.08, 5.28, 4.86, 4.52, 4.04, P〈0.05）, Logistic regression analysis of factors affecting hypertensive disorder in pregnan- cy： age ≥ 30 years old （OR=4.20, 95% CI： 1.30- 24.16）, no regular prenatal examination （OR=4.11, 95% CI： 1.08- 22.39）, no calcium supplementation （OR=3.85, 95% CI： 1.24-19.18）, and education time 〈10 years （OR=2.93, 95% CI： 1.48-18.38）. Conclusion The risk factors for the development of hypertensive disorder complicating pregnancy are complicated. Relevant prevention and treatment measures should be formulated according to various factors to reduce the occurrence of hypertensive disorder during pregnancy.

关 键 词：妊娠期高血压疾病 相关因素 分析 预防 

分 类 号：R714.25[医药卫生—妇产科学]