2015—2019年北京通州地区妊娠甲减合并子痫前期流行病学分析  

Epidemiological characteristics of pregnant women with hypothyroidism and preeclampsia in Tongzhou District of Beijing,2015-2019

作　　者：郑凤英[1] 孟文颖 马红梅[3] ZHENG Fengying;MENG Wenying;MA Hongmei(Beijing Friendship Hospital of Capital Medical University,Beijing 101100,China;Department of Obstetrics,Maternal and Child Health Hospital of Tongzhou District of Beijing,Beijing 101100,China;Department of Obstetrics,Beijing Luhe Hospital,Capital Medical University,Beijing 101100,China)

机构地区：[1]首都医科大学附属北京友谊医院妇产科,北京101100 [2]北京市通州区妇幼保健院产科,北京101100 [3]首都医科大学附属北京潞河医院产科,北京101100

出　　处：《公共卫生与预防医学》2020年第5期92-95,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的调查2015—2019年北京市通州地区妊娠甲减合并子痫前期(PE)流行特征。方法采用描述性流行病学方法对北京市通州地区2015—2019年妊娠甲减合并PE发病率和流行病学特征,统计学资料分析其相关因素。结果2015—2019年北京市通州地区妊娠合并PE年均发病率0.07%(267/5/77015),年发病率总体趋势不稳定。≤20岁且35~45岁、农村、文化程度为高中以下、家庭月收入≤3000元、多胎、妊娠期其他并发症和合并症多的妇女甲减合并PE发生率高于20~34岁、城镇、文化程度为高中及以上、家庭月收入>3000元、单胎、妊娠期其他并发症和合并症少的妇女甲减合并PE发生率(P<0.05)。年龄、文化程度、家庭月收入孕产次、BMI、妊娠期并发症和合并症是妊娠甲减合并PE发生危险因素(P<0.05)。结论2015—2019年北京市通州区妊娠甲减合并PE发病趋势不稳定,表现出较强的年龄、文化程度、经济水平、孕产次、BMI、妊娠期并发症和合并症差异性。Objective To investigate the epidemic characteristics of pregnancy hypothyroidism combined with preeclampsia(PE)in Tongzhou District of Beijing from 2015 to 2019,analyze the influencing factors,and provide a reference for the development of scientific prevention and control measures.Methods A descriptive epidemiological method was used to analyze the data.The incidence rate of pregnancy hypothyroidism combined with PE and related epidemiological survey data from 2015 to 2019 in Tongzhou District of Beijing were analyzed.Logistic regression equation was established to analyze its related factors.SPSS 20 was used for t test,rank sum test and Spearman rank correlation test with a test significance level of 0.05.Results In 2015-2019,there were 267 pregnant women with PE in Luhe hospital,maternal and child health care hospital,Tongzhou District second hospital,Tongzhou District Third Hospital,No.263 Hospital of PLA and Zhang Jia Wan hospital in Tongzhou District of Beijing.The average annual incidence rate of hypothyroidism combined with PE in pregnant women was 0.07%(267/5/77015),and varied each year.A questionnaire survey was conducted on the 267 cases by the investigation team.A total of 262 valid data sheets were recovered after removing residual pages,repeated samples and unqualified questionnaires.The incidence of hypothyroidism combined with PE was higher in women aged≤20 years and 35-45 years,in rural areas,and with an education level below high school,family monthly income≤3000 yuan,multiple births,and more pregnancy complications than that in women aged 21-34 years,in urban areas,and with an education level of high school or above,family monthly income>3000 yuan,singleton,and fewer pregnancy complications(P<0.05).Age,household registration,education level and family income were the risk factors of pregnancy hypothyroidism combined with PE.Conclusion The incidence trend of pregnancy hypothyroidism combined with PE was not stable in Tongzhou District of Beijing from 2015 to 2019,showing strong differences

关 键 词：妊娠甲减合并子痫前期 流行病学 调查分析 

分 类 号：R173[医药卫生—妇幼卫生保健]