妊娠高血压综合征的影响因素研究

Effect of multi-etiological factors on pregnancy induced hypertension syndrome

目的:探讨多病因因素对妊娠高血压综合征(妊高征)的影响。方法:2001年2月～2004年10月,观察在本院治疗并分娩的70例妊高征患者,分为两组,本地产妇组24例,外地产妇组46例,对年龄、职业、籍贯、文化程度、就医行为、家庭关系、经济状况以及家族史、体重指数、季节变化等妊高征的多病因因素及相关因素进行分析比较。结果:外地产妇组文化程度低,经济收入少,两组家庭经济收入比较,χ2=5.59,P<0.05,差异有显著性;外地产妇组就医行为差,两组就医行为比较,χ2=32.66,P<0.005,差异有极显著性。结论:妊高征是一种身心疾病,与环境因素、行为生活方式、医疗卫生服务相关。对妊高征的防治应该是全方位的,为提高整个民族的生活质量,社会要关心外来民工这一弱势群体,提高他们的自我保健意识。对于妊高征,重要的是预防,而不仅仅是药物治疗。

Objective： To investigate the effect of multi - etiological factors on pregnancy induced hypertension （PIH） . Methods ： Seventy cases were studied from February 2001 to October 2004 （ including 24 eases of Shanghai local puerpera and 46 cases of others ） on age, occupation, native place, education, receiving medical treatment behavior, family relation, economic status, family history, body mass index and seasonal variation. Results： The economic status was significantly higher in eases of Shanghai local puerpera than in others （x^2 = 5.59, P 〈 0.05 ） . The receiving medical treatment behavior had significant differences between them （x^2 = 32.66, P 〈 0.005 ） . Conclusion： PIH is a physically and mentally disease, which is related to environmental factors, life styles, medical treatment and public health service.