天津市妇幼保健系统建卡孕妇妊娠高血压疾病发生率调查  

Incidence investigation on hypertensive disorders in pregnancy of women registered in maternal and child health care system of Tianjin

作　　者：陈珅 周秋明 关超龄 赵国平[2] 王俊虹[2] 胡文馨 杨宁 魏茂提[2] CHEN Shen;ZHOU Qiu-ming;GUAN Chao-ling;ZHAO Guo-ping;WANG Jun-hong;HU Wen-xin;YANG Ning;WEI Mao-ti(Dongxin Community Health Service Center,Tianjin 300162,China)

机构地区：[1]天津市河东区东新街社区卫生服务中心,天津300162 [2]武警后勤学院部队流行病学与统计学教研室,天津300309 [3]重庆市第一中学,重庆400000 [4]中国人民武装警察部队特色医学中心心内科,天津300162

出　　处：《现代预防医学》2019年第6期1016-1018,共3页Modern Preventive Medicine

基　　金：天津科技重大专项项目(16ZXMJSY00130)<以子痫前期早期筛查为开端的心血管疾病初始预防和临床干预的研究>

摘　　要：目的了解天津市妇幼保健系统建卡孕妇妊娠高血压(hypertensive disorders in pregnancy,HDP)的发生状况。方法利用天津市某区的妇幼保健系统数据,对建卡孕妇进行妊娠高血压疾病发生状况调查,分析年龄和BMI对妊娠高血压发生的影响因素。结果天津市某区妇幼保健系统建卡孕妇HDP的发生率为2.5%(53/2 134,95%CI 1.8%～3.1%),妊娠高血压孕妇收缩压和舒张压较非妊娠高血压孕妇高(重复测量资料的组间比较:F_(收缩压)=190.581,P<0.001;F_(舒张压)=271.812,P<0.001),在产后42 d的时间点,妊娠高血压孕妇的收缩压和舒张压仍高于非妊娠高血压孕妇(t'_(收缩压)=2.223,P=0.029;t'_(舒张压)=2.318,P=0.028)。高孕妇年龄、孕早期较高的BMI为妊娠高血压症的危险因素(OR_(年龄)=1.081,95%CI 1.001～1.166;ORBMI=1.204,95%CI 1.128～1.284)。孕妇每增加年龄的1倍标准差,妊娠高血压发生率增加1.36倍;妊娠高血压孕妇BMI变化趋势在整个妊娠过程中与非高血压孕妇趋势相似,但是前者BMI水平更高(F=31.851,P<0.001)。结论天津市妇幼保健系统建卡孕妇妊娠高血压疾病发生率偏低,HDP发生随着年龄和高BMI的增加而增高,在防范HDP策略中应该加强对这类孕妇的管理和关注。Objective To investigate the epidemic of hypertensive disorders in pregnancy women(HDP)registered in maternal and child health care system of Tianjin(MCHCSTJ).Methods Basic information and the blood conditions were collected during the pregnant period for registered pregnant women in MCHCSTJ.Data were descripted to get prevalence status of HDP and age and BMI were analyzed using univariate or multivariate methods.Results Fifty-three HDP cases were reported HDP among 2134 pregnancy women with incidence rate of 2.5%(53/2134 95% CI 1.8%-3.1%).In the pregnancy period,higher levels of blood pressure were observed in HDP patients when compared with none HDP pregnant women(repeated ANOVA:FSystolic pressure= 190.581,P<0.001;Fdiastolic pressure=271.812,P<0.001).At the 42th day after the birth giving,the higher level of blood pressure in HDP patients were still observed(t'systolic pressure=2.223,P=0.029;t'diastolic pressure=0.028).The higher age and the higher BMI were risk factors related with incidence of HDP(ORage=1.081,95%CI 1.001-1.166;ORBMI= 1.204,95% CI 1.128-1.284).The odds ratio per SD increase for age was 1.36 times and a higher level of BMI were observed in HDP patients when compared with none HDP pregnant women(repeated ANOVA:F=31.851,P<0.001).Conclusion A lower level of HDP incidence in women registered in TJMCHCS)was observed and the higher age and the higher BMI were risk factors for HDP what should be concerned in future management for pregnancy women.

关 键 词：妊娠高血压疾病 妇幼保健系统 建卡孕妇 

分 类 号：R173[医药卫生—妇幼卫生保健]