天津医药
天津醫藥
천진의약
TIANJIN MEDICAL JOURNAL
2014年
2期
173-175
,共3页
高血压,妊娠性%先兆子%妊娠%危险因素%Logistic模型
高血壓,妊娠性%先兆子%妊娠%危險因素%Logistic模型
고혈압,임신성%선조자%임신%위험인소%Logistic모형
hypertension,pregnancy-induced%pre-eclampsia%pregnancy%risk factors%logistic model
目的：探讨浦东新区妊娠期高血压疾病的发病状况及相关危险因素。方法通过对2009-2012年4056例本地区常住产妇资料的回顾性分析，研究本地区妊娠期高血压疾病的患病情况，并通过多因素非条件Logis-tic回归分析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生率5.18%，其中妊娠期高血压的发生率2.49%，子前期-轻度发生率0.64%，子前期-重度发生率1.85%，子发生率0.05%，妊娠合并慢性高血压的发生率0.15%。多因素分析显示年龄大（OR=7.610,95%CI：2.322~24.936）、孕前体质量指数高（OR=120.715，95%CI：61.867~235.540）、孕期体质量增加量大（OR=16.219，95%CI：6.219~42.316）均为妊娠期高血压疾病的高危因素。结论年龄大、孕前体质量指数高、孕期体质量增加量大为妊娠期高血压疾病的高危因素，而与怀孕次数无关。
目的：探討浦東新區妊娠期高血壓疾病的髮病狀況及相關危險因素。方法通過對2009-2012年4056例本地區常住產婦資料的迴顧性分析，研究本地區妊娠期高血壓疾病的患病情況，併通過多因素非條件Logis-tic迴歸分析影響本地區妊娠期高血壓疾病髮病的高危因素。結果妊娠期高血壓疾病的髮生率5.18%，其中妊娠期高血壓的髮生率2.49%，子前期-輕度髮生率0.64%，子前期-重度髮生率1.85%，子髮生率0.05%，妊娠閤併慢性高血壓的髮生率0.15%。多因素分析顯示年齡大（OR=7.610,95%CI：2.322~24.936）、孕前體質量指數高（OR=120.715，95%CI：61.867~235.540）、孕期體質量增加量大（OR=16.219，95%CI：6.219~42.316）均為妊娠期高血壓疾病的高危因素。結論年齡大、孕前體質量指數高、孕期體質量增加量大為妊娠期高血壓疾病的高危因素，而與懷孕次數無關。
목적：탐토포동신구임신기고혈압질병적발병상황급상관위험인소。방법통과대2009-2012년4056례본지구상주산부자료적회고성분석，연구본지구임신기고혈압질병적환병정황，병통과다인소비조건Logis-tic회귀분석영향본지구임신기고혈압질병발병적고위인소。결과임신기고혈압질병적발생솔5.18%，기중임신기고혈압적발생솔2.49%，자전기-경도발생솔0.64%，자전기-중도발생솔1.85%，자발생솔0.05%，임신합병만성고혈압적발생솔0.15%。다인소분석현시년령대（OR=7.610,95%CI：2.322~24.936）、잉전체질량지수고（OR=120.715，95%CI：61.867~235.540）、잉기체질량증가량대（OR=16.219，95%CI：6.219~42.316）균위임신기고혈압질병적고위인소。결론년령대、잉전체질량지수고、잉기체질량증가량대위임신기고혈압질병적고위인소，이여부잉차수무관。
Objective To investigate the epidemiological status and risk factors in hypertensive disorder during pregnancy in Pudong New Area in Shanghai. Methods The retrospective study analyzed data of 4 056 maternal residents in the region from 2009 to 2012. The prevalence of hypertensive disorders in pregnancy was analyzed. The related factors for the hypertensive disorder during pregnancy were evaluated by multivariate unconditional logistic analysis. Results The in-cidence of hypertensive disorder during pregnancy was 5.18%, including gestational hypertension 2.49%, preeclampsia-mild 0.64%, preeclampsia-severe 1.85%, eclampsia 0.05%and pregnancy with chronic hypertension 0.15%. The multivari-ate unconditional logistic regression analysis showed that the advanced age (OR=7.610, OR95%CI:2.322-24.936), the high body mass index (BMI) before pregnancy (OR=120.715,OR 95%CI:61.867-235.540) and the excessively increased BMI during pregnancy (OR=16.219,OR 95%CI:6.219-42.316) were risk factors for hypertensive disorder during pregnancy. Conclusion The risk factors for hypertensive disorder during pregnancy are advanced age, the high BMI before pregnancy and the excessively increased BMI during pregnancy. The hypertensive disorder during pregnancy has no relation with the number of pregnancies.
