淮安地区妊娠期并发症患病现状及其影响因素分析  

Prevalence and influencing factors of pregnancy complications in Huai’an region

作　　者：薛秀平[1] 钮慧远[1] 仲晓慧[1] XUE Xiu-ping;NIU Hui-yuan;ZHONG Xiao-hui(Huai’an Maternal and Child Health-Care Center,Huai’an,Jiangsu 223002,China)

机构地区：[1]淮安市妇幼保健院,江苏淮安223002

出　　处：《现代预防医学》2020年第15期2739-2743,共5页Modern Preventive Medicine

基　　金：国家卫生计生委医药卫生科技发展研究中心项目(No.W2016CWJS11)。

摘　　要：目的探索淮安地区妊娠期并发症的患病率及影响因素,为预防妊娠期并发症的发生制定合理有效的措施提供理论依据。方法选取2017年1月-2018年5月在淮安市妇幼保健院常规产检的2826例孕妇并进行问卷调查。采用X^2检验和多因素非条件logistic回归分析的方法,分析妊娠期并发症的影响因素。结果被调查孕妇中妊娠糖尿病、妊娠期高血压和妊娠期贫血的患病率分别为13.02%、6.19%和23.78%。多因素logistic回归分析显示年龄(OR=1.236,95%CI:1.163~1.518)、文化程度(OR=0.867,95%CI:0.746~0.960)、孕前BMI(OR=2.106,95%CI:1.892~2.403)、居住地(OR=1.293,95%CI:1.240~1.420)是妊娠糖尿病的影响因素(P<0.05);孕前BMI(OR=0.793,95%CI:0.631~0.922)、居住地(OR=0.603,95%CI:0.561~0.695)和年龄(OR=1.238,95%CI:1.129~1.375)是妊娠期贫血的影响因素(P<0.05);孕前BMI(OR=1.863,95%CI:1.743~1.990)是妊娠期高血压的影响因素(P<0.05)。结论孕前BMI、年龄、居住地及文化程度均会对妊娠期并发症的存在不同程度的影响,因此重视孕前维持正常体重、加强围生期保健知识,对预防妊娠期并发症有重要意义。Objective To analysis the prevalence and influencing factors of pregnancy complications in Huai’an region and to provide reasonable and effective measures to prevent pregnancy complications.Methods A total of 2826 pregnant women who delivered at Huai’an Maternal and Child Health-Care Center between January 2017 and May 2018 were selected and surveyed.X^2 test and multi-factor non-conditional logistic regression analysis were used to analyze the influencing factors of pregnancy complications.Results The prevalence of gestational diabetes,hypertension and anemia during pregnancy were 13.02%、6.19%and 23.78%,respectively.The multi-factor analysis showed that age(OR=1.236,95%CI:1.163-1.518),level of education(OR=0.867,95%CI:0.746-0.960),pre-pregnancy BMI(OR=2.106,95%CI:1.892-2.403)and region(OR=1.293,95%CI:1.240-1.420)played a role in gestational diabetes(P<0.05).The pre-pregnancy BMI(OR=0.793,95%CI:0.631-0.922),region(OR=0.603,95%CI:0.561-0.695)and age(OR=1.238,95%CI:1.129-1.375)influenced anemia(P<0.05).The pre-pregnancy BMI(OR=1.863,95%CI:1.743-1.990)was the influencing factor of hypertension during pregnancy(P<0.05).Conclusion The level of pre-pregnancy BMI,age,region and education all have different effects on pregnancy complications.Therefore,it’s of great significance to prevent pregnancy complications by maintaining appropriate pre-pregnancy weight and strengthening health knowledge of maternal and infant.

关 键 词：妊娠期并发症 影响因素 患病率 

分 类 号：R714.25[医药卫生—妇产科学]