摘要
目的探讨产次对衢州市柯城地区农村妇女高血压患病的影响因素。方法选取衢州市柯城区妇幼保健院2017年4月至2018年6月诊治的272例年龄≥35岁的生育后妇女作为研究对象,对其基本资料、血压、血糖、生育情况等进行问卷调查,将整理后的信息录入统计软件进行统计分析。结果同产次妇女在年龄、绝经人数、收缩压、高血压人数、高血压家族史人数方面差异有统计学意义(P<0.05)。其中产次1次平均年龄(49.40±6.32)岁,产次2次平均年龄(58.54±8.20)岁,产次3次平均年龄(69.27±5.33)岁(t=127.605,P<0.01);产次1次绝经85例,产次2次绝经58例,产次3次绝经28例(χ~2=47.198,P<0.01);产次1次高血压44例,产次2次高血压31例,产次3次高血压18例(χ~2=21.804,P<0.01)。将有关因素纳入logistic回归模型,结果提示,产次不是影响高血压发病的独立危险因素(P>0.05)。结论综合多种因素分析,产次可能对妇女的血压变化有着一定的影响,但对于高血压的发生并无直接关系,因此产次并不是影响农村妇女高血压的独立危险因素。
Objective To discuss the impact of number of birth on the incidence of hypertension among women from rural areas of kecheng district in Quzhou.Methods A total of 272 postnatal women aged 35 and over in the Department of gynecology and health care in kecheng district of Quzhou city from April 2017 to June 2018 were enrolled and a questionnaire survey was conducted to collect demographic data,blood pressure,blood sugar and number of birth.Results There were statistically significant differences in age,menopause,systolic blood pressure,diastolic blood pressure,incidence of hypertension,and family history of hypertension(P<0.05)among women with the same number of childbirth.The medium age was 49.40±6.32 for women with one childbirth,58.54±8.20 for those with two childbirths and 69.27±5.33 for women with 3 childbirths,the difference was significant(t=127.605,P<0.01).There were 85,58 and 28 women who were in menopause among women with one,two and 3 childbirths,respectively,the difference was significant(χ~2=21.804,P<0.01).The prevalence of hypertension decreased along with the increase of number of birth of woman.Logistic regression analysis showed that number of birth of woman was not andependent risk factor of hypertension(P>0.05).Conclusions Number of birth may affect blood pressure of women,but it is not an independent risk factor of hypertension of woman in rural areas of Kecheng district in Quzhou.
作者
吴敏云
姚慧珍
杨庆业
方成香
WU Min-yun;YAO Hui-zhen;YANG Qing-ye;FANG Cheng-xiang(Quzhou People′s Hospital,Quzhou,Zhejiang 324000,China)
出处
《中国预防医学杂志》
CAS
CSCD
2019年第9期850-852,共3页
Chinese Preventive Medicine
基金
衢州市科技局项目(2018087)
关键词
农村
妇女
高血压
产次
年龄
绝经
影响因素
Countryside
Woman
High blood pressure
Parity
Age
Menopause
Influencing factor
