孕前体重指数及孕期体重增长情况与孕妇发生妊娠期高血压疾病的关系  

The Relationship of Pregnancy-Induced Hypertensive Disease with Preconception Body Mass Index and Pregnancy Weight Gain

作　　者：李敏仪 LI Minyi(Department of Obstetrical,Guangdong Foshan Nanhai District People's Hospital,Foshan Guangdong 528225)

机构地区：[1]广东省佛山市南海区人民医院产科,广东佛山528225

出　　处：《医学临床研究》2024年第12期1913-1915,1919,共4页Journal of Clinical Research

摘　　要：【目的】探讨孕前体重指数(BMI)、孕期体重增长情况与孕妇发生妊娠期高血压疾病的关系。【方法】选取2022年4月至2023年4月在本院定期产检的100例孕妇,依据孕妇孕前BMI分为肥胖和超重组(A组,肥胖为BMI≥28 kg/m^(2),超重为24.0 kg/m^(2)≤BMI<28 kg/m^(2))、低BMI组(B组,BMI<18.5 kg/m^(2))、正常BMI组(C组,18.5 kg/m^(2)≤BMI<24.0 kg/m^(2));根据孕期体重增长情况分为体重增长不足组、适宜组、过多组。比较各组孕妇妊娠期高血压疾病发生情况;采用Spearman分析孕妇发生妊娠期高血压疾病与孕前BMI和孕期体重增长情况的相关性。【结果】A组孕妇妊娠期高血压、轻度子痫前期、重度子痫前期发生率均高于B组、C组,差异均有统计学意义(P<0.05);孕期体重增长过多组孕妇妊娠期高血压发生率、轻度子痫前期发生率、重度子痫前期发生率均高于孕期体重增长适宜组和不足组孕妇,差异有统计学意义(P<0.05);孕前超重和肥胖、孕期体重增长过多与孕妇发生妊娠期高血压疾病显著相关(P<0.05)。【结论】孕前超重、肥胖以及孕期体重增长过多是孕妇发生妊娠期高血压疾病的风险因素,产科医护人员需高度重视并切实加强对育龄期女性,尤其是超重与肥胖女性的孕前及孕期体重管理知识的普及与教育工作。【Objective】To investigate the correlation of pregnancy-induced hypertension disorders of pre-pregnancy body mass index(BMI)and pregnancy weight gain.【Methods】A total of 100 pregnant women who received regular birth check-up in our hospital from April 2022 to April 2023 were selected and divided into the obese and overweight groups(group A,obesity BMI≥28 kg/m^(2) and overweight 24 kg/m^(2)≤BMI<28 kg/m^(2)),low BMI group(group B,BMI<18.5 kg/m^(2)),and normal BMI group(group C,18.5 kg/m^(2)≤BMI<24.0 kg/m^(2))according to pre-pregnancy BMI calculation.According to the weight gain during pregnancy,they were divided into the insufficient weight gain group,suitable weight gain group and excessive weight gain group.The incidence of hypertensive diseases during pregnancy was compared among all groups.Spearman was used to analyze the correlation of pregnancy hypertension with pre-pregnancy BMI and pregnancy weight gain.【Results】The incidence rate of pregnancy-induced hypertension,mild preeclampsia and severe preeclampsia in group A was higher than that in group B and group C,with statistical significance(P<0.05).The incidence of hypertension,mild preeclampsia and severe preeclampsia in the excessive weight gain group were higher than those in the appropriate weight gain group and the insufficient weight gain group,and the difference was statistically significant(P<0.05).Pre-pregnancy overweight and obesity plus excessive weight gain during pregnancy were significantly associated with pregnancy-induced hypertension(P<0.05).【Conclusion】Pre-pregnancy overweight,obesity and excessive weight gain during pregnancy are risk factors for pregnancy-induced hypertension in pregnant women.Obstetrical health care workers should attach great importance to and strengthen the popularization and education of pre-pregnancy and pregnancy weight management knowledge for women of childbearing age,especially overweight and obese women.

关 键 词：高血压 妊娠性 人体质量指数 孕期体重增长 数据相关性 

分 类 号：R714.252[医药卫生—妇产科学]