摘要
目的探讨妊娠期高血压疾病(HDCP)的相关危险因素及其干预措施,为临床防止妊高征提供依据。方法采用回顾性病例对照法,以140例妊高征患者作为病例组,同时以140例正常孕妇作为对照组;应用调查表调查可能影响妊高征发病的相关危险因素,采用单因素和多因素logistic回归法来筛选妊高征发病的相关危险因素。结果多因素分析结果显示,年龄(OR=5.033)、孕前BMI(OR=3.773)、妊高征家族史(OR=6.821)、未规律产检(OR=4.646)、不良情绪(OR=2.535)、缺乏锻炼(OR=2.239)等因素均为妊高征发病的高危因素。结论妊高征发病的高危因素包括高龄妊娠、孕前肥胖、糖尿病史、妊高征家族史、不规律产检、孕中有不良情绪、缺乏体育锻炼等,应针对这些高危因素采取必要干预措施,预防不良母婴妊娠结局。
Objective To explore the risk factors and intervention measures of hypertensive disorder complicating pregnancy （HDCP）, and to provide basis for preventing and treating HDCP. Methods With retrospective case-control study method, 140 cases of HDCP were collected as the case group, and 140 cases of normal pregnancy women were as the control group. Self-designed questionnaire was used to collect correlated risk factors of HDCP, and then single and multiple factors logistic regression methods were used to screen correlated risk factors of HDCP. Results Multiple factors analysis results showed that age （ OR=5. 033 ）, BMI before pregnancy （ OR = 3. 773 ） , family history of HDCP （ OR= 6. 821 ）, irregular prenatal examination （ OR = 4.646）, bad emotion （ OR = 2. 535 ） and lack of exercises （ OR = 2.239） were the high risk factors of HDCP. Conclusion The high risk factors of HDCP include elder pregnancy, obesity before pregnancy, family history of HDCP, irregular prenatal examination, bad emotion in pregnancy and lack of physical exercises. We should adopt intervention measures to aim directly at these high risk factors, in order to prevent bad pregnancy outcome.
出处
《中国医院统计》
2017年第3期173-175,178,共4页
Chinese Journal of Hospital Statistics
关键词
妊娠期高血压疾病
危险因素
高危因素
妊娠结局
Hypertensive disorder complicating pregnancy
Risk factors
High risk factors
Pregnancy outcome
