医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
12期
2302-2303
,共2页
慢性高血压%子痫前期%心理压力
慢性高血壓%子癇前期%心理壓力
만성고혈압%자간전기%심리압력
Chronic hypertension%Hreeclampsia%Psychological stress
目的：分析生活压力、妊娠压力、慢性高血压及三者结合对子痫前期发病风险的评估。方法选择2005年2月至2013年2月在青岛市第九人民医院就诊分娩的子痫前期孕妇212例作为子痫前期组，1945例正常孕妇作为对照组，采用Logistic回归分析评估子痫前期发病的风险因素。慢性高血压在妊娠前确诊，通过调查表评估生活和孕期心理压力。子痫前期根据临床标准诊断。结果高生活压力（OR＝2.1，95％CI 1.6～2.9）、高妊娠压力（OR ＝1.7，95％CI 1.3～2.2）及两者都有（OR＝2.3，95％CI 1.7～3.3）和患慢性高血压（OR ＝10.4，95％CI 7.5～14.4）是导致子痫前期发病的危险因素。慢性高血压合并高生活压力（OR＝21.3，95％CI 10.2～44.3）、高妊娠压力（OR＝18.5，95％CI 10.0～34.4）及两者都有（OR＝21.5，95％CI 9.2～48.0）时子痫前期发病的危险更高。结论妊娠压力，生活压力、慢性高血压均可导致子痫前期的风险增加，尤其是慢性高血压合并生活压力、妊娠压力时患子痫前期的风险更高，说明预防、筛查心理压力及慢性高血压的重要性，特别是对患有慢性高血压的孕妇减少心理压力的重要性。
目的：分析生活壓力、妊娠壓力、慢性高血壓及三者結閤對子癇前期髮病風險的評估。方法選擇2005年2月至2013年2月在青島市第九人民醫院就診分娩的子癇前期孕婦212例作為子癇前期組，1945例正常孕婦作為對照組，採用Logistic迴歸分析評估子癇前期髮病的風險因素。慢性高血壓在妊娠前確診，通過調查錶評估生活和孕期心理壓力。子癇前期根據臨床標準診斷。結果高生活壓力（OR＝2.1，95％CI 1.6～2.9）、高妊娠壓力（OR ＝1.7，95％CI 1.3～2.2）及兩者都有（OR＝2.3，95％CI 1.7～3.3）和患慢性高血壓（OR ＝10.4，95％CI 7.5～14.4）是導緻子癇前期髮病的危險因素。慢性高血壓閤併高生活壓力（OR＝21.3，95％CI 10.2～44.3）、高妊娠壓力（OR＝18.5，95％CI 10.0～34.4）及兩者都有（OR＝21.5，95％CI 9.2～48.0）時子癇前期髮病的危險更高。結論妊娠壓力，生活壓力、慢性高血壓均可導緻子癇前期的風險增加，尤其是慢性高血壓閤併生活壓力、妊娠壓力時患子癇前期的風險更高，說明預防、篩查心理壓力及慢性高血壓的重要性，特彆是對患有慢性高血壓的孕婦減少心理壓力的重要性。
목적：분석생활압력、임신압력、만성고혈압급삼자결합대자간전기발병풍험적평고。방법선택2005년2월지2013년2월재청도시제구인민의원취진분면적자간전기잉부212례작위자간전기조，1945례정상잉부작위대조조，채용Logistic회귀분석평고자간전기발병적풍험인소。만성고혈압재임신전학진，통과조사표평고생활화잉기심리압력。자간전기근거림상표준진단。결과고생활압력（OR＝2.1，95％CI 1.6～2.9）、고임신압력（OR ＝1.7，95％CI 1.3～2.2）급량자도유（OR＝2.3，95％CI 1.7～3.3）화환만성고혈압（OR ＝10.4，95％CI 7.5～14.4）시도치자간전기발병적위험인소。만성고혈압합병고생활압력（OR＝21.3，95％CI 10.2～44.3）、고임신압력（OR＝18.5，95％CI 10.0～34.4）급량자도유（OR＝21.5，95％CI 9.2～48.0）시자간전기발병적위험경고。결론임신압력，생활압력、만성고혈압균가도치자간전기적풍험증가，우기시만성고혈압합병생활압력、임신압력시환자간전기적풍험경고，설명예방、사사심리압력급만성고혈압적중요성，특별시대환유만성고혈압적잉부감소심리압력적중요성。
Objective To evaluate the incidence risk of preeclampsia by life stress,pregnancy stress, chronic hypertension,and combination of the three factors.Methods A total of 212 pregnant women with preeclampsia admitted in Qingdao Ninth People′s Hospital from Feb.2005 to Feb.2013 were selected as the preeclampsia group and another 1945 normal pregnant women were selected as the control group.Risk factors of preeclampsia were analyzed using Logistic regression method.Chronic hypertension was diagnosed before pregnancy,life and psychological stress during pregnancy was evaluated by questionnaire.Besides, pre-eclampsia was diagnosed according to clinical criteria.Results High life stress(OR =2.1,95%CI 1.6-2.9), high pregnancy stress(OR=1.7,95%CI 1.3-2.2) and both (OR=2.3,95%CI 1.7-3.3) as well as chronic hypertension(OR=10.4,95%CI 7.5-14.4) were the risk factor of preeclampsia.Chronic hyper-tension combined with high life stress(OR=21.3,95%CI 10.2-44.3),high pregnancy stress(OR=18.5, 95%CI 10.0-34.4) and combination of high life stress and pregnancy stress(OR=21.5,95%CI 9.2-48.0) brought higher risks of preeclampsia.Conclusion Pregnancy stress,life stress,chronic hypertension can all increase the risk of preeclampsia.Such risk is even higher when chronic hypertension combined with life stress and pregnancy stress .It indicates the importance of prevention and screening of psychological stress and chronic hypertension,especially the importance of reducing psychological stress in pregnant women with chro-nic hypertension.
