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浦东新区妊娠期高血压疾病的相关高危因素分析

吴建发1,吴素勤2   

  1. 1. 周浦医院
    2. 上海市浦东新区周浦医院
  • 收稿日期:2013-05-30 修回日期:2013-09-24 出版日期:2014-02-15 发布日期:2014-02-15
  • 通讯作者: 吴建发

Epidemiological status and risk factors for hypertensive disorder complicating pregnancy in Pudong New Area in Shanghai

  • Received:2013-05-30 Revised:2013-09-24 Published:2014-02-15 Online:2014-02-15

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摘要： 目的：分析研究本地区妊娠期高血压疾病的发病状况及相关危险因素，做好一级预防。方法：通过对2009-2012年度与本院诊治的4056例病例资料的回顾性分析研究，探讨本地区妊娠期高血压疾病的患病情况，并通过多因素Logisic非条件归因分析探讨影响本地区妊娠期高血压疾病发病的高危因素。结果：妊娠期高血压疾病的发病率5.18%，其中妊娠期高血压的发病率2.49%，子痫前期-轻度的发病率0.64%，子痫前期-重度的发病率1.85%，子痫发病率0.05%，妊娠合并慢性高血压的发病率0.15%。经多因素Logisic非条件归因分析发现年龄（OR=7.610,95%CI：2.322-24.936）、孕前体重指数（OR=120.715，95%CI：61.867-235.540）、孕期体重增加数（OR=16.219，95%CI6.219-42.316）均为妊娠期高血压疾病的高危因素。结论.本地区妊娠期高血压的发病率5.17%，较我国平均的9.4%低。高龄、孕前体重指数、孕期体重增加数、初产、无产前检查为妊娠期高血压疾病的高危因素，而怀孕次数与妊娠期高血压疾病无关。

关键词: 妊娠期高血压疾病, 高危因素, logistic回归分析

Abstract: Objective：To comprehend the epidemiological status and risk factors in hypertensive disorder complicating in Pudong New Area in Shanghai,in order to provide a method for early intervention of hypertensive disorder complicating. Methods：A total of 4056 pregnant women in our hospital from 2009 to 2012 were retrospectively analyzded and the related factors were evaluated by multivarisate unconditional logistic analysis. Results：The incidence of hypertensive disorder complicating was 5.18%,with gestational hypertension was 2.49%,with preeclampsia slightly was 0.64%,wieh preeclampsia smi was 1.85%,with eclampsia was 0.05%,and pregnancy with chronic hypertension was 0.15%.Multivariate unconditional logistic regression analysis showed that age（OR=7.610,95%CI：2.322-24.936）,body mass index(BMI)before pregnancy（OR=120.715，95%CI：61.867-235.540）, the increased weight during pregnancy（OR=16.219，95%CI6.219-42.316）were risk factors for hypertensive disorder complicating. Conclutions：Age,BMI before pregnancy,the increased weight during pregnancy,primiparity,and pregnant with no antenatal examination are risk factors for hypertensive disorder complicating.While parity have no obvious correlation with hypertensive disorder complicating.

Key words: hypertensive disorder complicating pregnancy, risk order, logistic regression