摘要
目的探讨妊娠期高血压患者流行病学特点,以指导临床防治工作。方法回顾性分析胶州市人民医院2013年5月至2018年9月收治的450例妊娠高血压患者的临床资料,统计并分析患者年龄、户籍、孕周、产次、是否有规律产检、分娩方式。结果 450例妊娠高血压患者发病年龄为32~38岁,平均(34.52±1.91)岁,5年间发病年龄相比,差异无统计学意义(P>0.05)。乡村人口占23.78%(107/450),占比呈逐年上升趋势(P<0.05)。初产妇占77.56%(349/450),占比呈逐渐下降趋势(P<0.05)。450例患者发病孕周为33~40周,平均(36.11±2.75)周,5 a来发病孕周有逐年提前趋势(P<0.05)。规律产检者占72.44%(326/450),占比呈逐年上升趋势(P<0.05)。阴道分娩者占18.00%(81/450),分娩方式变化不大(P>0.05),仍以剖宫产为主。结论妊娠高血压主要发生于32~38岁,近年来初产妇占比下降,乡村人口占比上升,规律产检者占比上升,患者发病孕周有提前趋势。
Objective To investigate the epidemiological characteristics of gestational hypertension. Methods The clinical data of 450 patients with gestational hypertension admitted to Jiaozhou People’s Hospital from May 2013 to September 2018 were retrospectively analyzed. Statistical analysis was carried out on the patients’ age, household registration, gestational age, parity, regular birth check, and mode of delivery.Results The age of onset of 450 patients with gestational hypertension was 32-38 years old, with an average of(34.52±1.91) years old. There was no significant difference in the age of onset between the 5 years(P>0.05). The rural population accounted for 23.78%(107/450), and the proportion increased year by year(P<0.05). The primiparas accounted for 77.56%(349/450), and the proportion showed a gradual decline(P<0.05). The gestational age of onset of 450 patients was 33-40 weeks, with an average of(36.11±2.75) weeks. The gestational age of onset was getting earlier and earlier in the past 5 a(P<0.05). Pregnant women with regular checkups accounted for 72.44%(326/450), and the proportion increased year by year(P<0.05). The proportion of women who gave birth by vaginal delivery accounted for 18.00%(81/450), and the mode of delivery changed little(P>0.05). Conclusion Gestational hypertension mainly occurs in women aged 32-38 years old. In recent years, the proportion of primiparas has decreased, the proportion of rural population has increased, the proportion of women with regular check-ups has increased, and the gestational age of onset has gotten smaller.
作者
代培芬
Dai Peifen(Obstetrics Department,Jiaozhou People’s Hospital,Qingdao 266300,China)
出处
《中华心脏与心律电子杂志》
2019年第4期201-203,共3页
Chinese Journal of Heart and Heart Rhythm(Electronic Edition)
关键词
妊娠高血压
流行病学
分娩
Gestational hypertension
Epidemiology
Delivery
