HDP发病危险因素分析及预防对策  

Analysis of the risk factors and the preventive measures of the hypertensive disorders complicating pregnancy

作　　者：陈晓炎 夏群英 CHEN Xiaoyan;XIA Qunying(Tongziang Maternal and Child Health Care Hospital,Tongziang,Zhejiang Province,314500)

机构地区：[1]浙江省桐乡市妇幼保健院,314500

出　　处：《中国计划生育学杂志》2025年第4期956-959,966,共5页Chinese Journal of Family Planning

摘　　要：目的:分析妊娠期高血压疾病(HDP)发病危险因素并提出预防对策。方法:用logistic回归分析筛选HDP发病的独立危险因素。结果:2020-2023年本院就诊的孕妇2943,HDP总体发病165例,发病率5.6%。HDP组和非HDP组年龄、孕前体质指数、≥2胎妊娠、焦虑、抑郁、高血压家族史、妊娠期甲状腺疾病、妊娠期糖尿病、胰岛素抵抗、叶酸缺乏等情况有差异(P<0.05)。以HDP发病情况为因变量行logistic回归分析,结果显示,年龄≥35岁(OR=2.316,P=0.010)、孕前体质指数超重或肥胖(OR=3.482,P=0.008)、≥2胎妊娠(OR=4.492,P=0.004)、有焦虑(OR=2.804,P=0.000)、有抑郁(OR=1.882,P=0.010)、有高血压家族史(OR=1.406,P=0.002)、有妊娠期甲状腺疾病(OR=3.023,P=0.014)、有妊娠期糖尿病(OR=3.333,P=0.000)是HDP发病的独立危险因素。结论:可基于上述独立危险因素采取行之有效的预防对策。Objective:To analyze the risk factors and the preventive measures of the hypertensive disorders complicating pregnancy(HDCP).Methods:Logistic regression analysis was used to screening the independent risk factors of HDCP of the pregnant women.Results:From 2020 to 2023,165 women with HDCP occurred in 2943 pregnant women in the hospital,with the incidence of 5.6%.There were significant differences in the age,the pre-pregnancy body mass index,the number of pregnancy≥2 times,the anxiety,the depression,the family history of hypertension,the gestational thyroid disease,the gestational diabetes mellitus(GDM),the insulin resistance and the folate deficiency between the women with HDCP and the women without HDCP(P<0.05).Logistic regression analysis was conducted by the incidence of HDCP as the dependent variable,and which showed that the age≥35 years old(OR=2.316,P=0.010),the pre-pregnancy overweight or obesity(OR=3.482,P=0.008),the number of pregnancy≥2 times(OR=4.492,P=0.004),the anxiety(OR=2.804,P=0.000),the depression(OR=1.882,P=0.010),the family history of hypertension(OR=1.406,P=0.002),the thyroid disease during pregnancy(OR=3.023,P=0.000).(P=0.014)and the GDM(OR=3.333,P=0.000)of the pregnant women were the independent risk factors of their HDCP occurrence.Conclusion:The effective preventive measures for the HDCP occurrence of the pregnant women should be conducted based on these independent risk factors of their HDCP occurrence.

关 键 词：妊娠期高血压疾病 危险因素 预防对策 

分 类 号：R714.24[医药卫生—妇产科学]