银川市2015例孕产妇妊高征调查分析

Investigation Analysis of Edema-proteinuriRIa-Hypertension Syndrome in 2015 Pregnant and Lyingin Women in Yinchuan

本文按照１９８８年全国好高征科研组的统一标准及方法对银川市２０１５例孕产妇进行了妊高症的前瞻性流行病学调查。结果好高征的发病率为４．８％，低于９．４％的全国平均数Ｐ＜０．０１，回族比汉族发病率高，分别为６．６％和３．９％（Ｐ＜０．０１）。经相关分析认为，高龄、初产、肥胖以及合并原发性高血压、贫血、双胎者好高症发生率明显高于对照组（Ｐ均＜０．０１或０．０５）。妊高征对孕产妇的影响主要表现在使其死亡率、难产率及剖宫产率、产后出血（≤４００ｍｌ）率增高，对围产儿的影响主要是使之死亡率、宫内生长迟缓率、胎儿宫内窘迫及低出生体重儿发生率增高。因此做好对相关因素的预防、孕期保健、及时就医是降低好高征发病率，减轻其对母婴危害的重要措施。

The article prospectively investigat-ed and analysised the Edema-proteinuria-Hyperten-sion syndrome(EPH)in 2015 pregnant and lying-inwomen in Yinchuan according to the unite standardsand methods in 1988. The results showed that the inci-dence rate of EPH was 4.8%,significantly(P<0.01)Lower than the average level of national(9.4%), theHui’s incidence rate(6.6%)was significantly higherthan the Han’s(3.9%).The correlation analvsisshown than senior,first lying-in women, fat etc. wereinfluential for EPH. The incidence rate of EPH washigher than control group when pregnacy was compli-cated by hypertension, anaemia, twins, This article foundthat mortality rate, systocia rate,caesarean birth rateand postprtum haemorrhage(>400ml)rate for pregnantand lying-in women were increased and mortality rate,intrauterine growth retardation rate,foetus distress rate,low birth weight infant rate for perinatal infants wereincreased.