孕前体质量指数与妊娠期高血压疾病的相关性研究  

Correlation between pre pregnancy body mass index and pregnancy induced hypertension

作　　者：黄逸艳 黄业华 HUANG Yi-yan;HUANG Ye-hua(Department of Obstetrics,Guigang Maternal and Child Health Hospital,Guigang 537100,Guangxi,China)

机构地区：[1]贵港市妇幼保健院产科,广西贵港537100

出　　处：《川北医学院学报》2022年第2期194-196,201,共4页Journal of North Sichuan Medical College

基　　金：广西贵港市科学研究与技术开发计划项目(贵科攻2100027)。

摘　　要：目的:探究孕前体质量指数(BMI)与妊娠期高血压疾病(HDP)的相关性。方法:选取12258例定期产检的孕妇为研究对象,依据是否患有HDP分为HDP组(n=190)和非HDP组(n=12068)。比较不同孕前BMI孕妇HDP发生率及妊娠结局,分析孕前BMI及其他相关因素与HDP的相关性。结果:两组孕妇年龄、受教育程度、产妇类型比较,差异无统计学(P>0.05);两组分娩孕周、是否为辅助生殖、孕前BMI及BMI分级比较,差异有统计学意义(P<0.05)。Logistic回归分析结果显示,辅助生殖、孕前超重、孕前肥胖为提示HDP发生的影响因素(P<0.05);肥胖孕妇妊娠期高血压、子痫前期、重度子痫前期的发生率高于孕前偏瘦、孕前BMI正常、孕前超重的孕妇(P<0.05);重度子痫前期孕妇剖宫产率高于妊娠期高血压及子痫前期孕妇(P<0.05)。结论:辅助生殖、孕前超重、孕前肥胖为提示HDP发生的影响因素,孕前肥胖可增加HDP的发生率,建议孕前肥胖的妇女控制体重。Objective:To explore the correlation between pre pregnancy body mass index(BMI)and pregnancy induced hypertension(HDP).Methods:12,258 pregnant women who underwent regular prenatal examination were selected,including 190 pregnant women with HDP as HDP group and 12,068 pregnant women without HDP as non HDP group.The incidence and pregnancy outcome of HDP in pregnant women with different pre pregnancy mass index were compared,and the correlation between pre pregnancy mass index and other related factors and HDP was analyzed.Results:There was no significant difference in the age,education level and type of pregnant women between the two groups(P>0.05).There were significant differences in gestational weeks,assisted reproduction,pre pregnancy BMI and BMI grade between the two groups(P<0.05).Logistic regression analysis showed that assisted reproduction,pre pregnancy overweight,and pre pregnancy obesity were the influencing factors of HDP(P<0.05).The incidence of pregnancy induced hypertension,preeclampsia and severe preeclampsia in obese pregnant women were significantly higher than those in lean,normal BMI and overweight pregnant women before pregnancy(P<0.05).The cesarean section rate of pregnant women with severe preeclampsia was higher than that of pregnant women with gestational hypertension and preeclampsia(P<0.05).Conclusion:Assisted reproduction,pre pregnancy overweight and pre pregnancy obesity are the factors that prompt the occurrence of HDP.Obesity before pregnancy can increase the incidence rate of HDP.It is suggested that obese women before pregnancy control their weight to reduce the incidence of HDP.

关 键 词：孕前体质量指数 妊娠期高血压疾病 子痫前期 妊娠结局 

分 类 号：R714.24[医药卫生—妇产科学]