重度妊高征近十年发病情况及其相关因素的分析

The changes of the contributed factors of severe pregnancy-induced hypertention in last decade

对1986～1995年我院内分娩的重度妊高征病人，通过Logistic多元回归分析其人群构成比及母儿合并症的相关因素，提出重度妊高征高危人群集中于经济状况差、来源于外地及孕期检查少的孕妇，其母儿合并症明显高于对照组。虽然近5年重度妊高征组早产率、低体重儿分娩率有所上升，但由于围产医学发展，围产儿死亡率并未随之上升，由此本文探讨了相应的围产保健措施。

The purpose of this study was to analyze the changes of the component groups ofsevere PIH and its maternal and neonatal complications in last ten years (from 1986 to 1995). Theanalysis of logistic multiple regression demonstrated that the morbidity of severe PIH was significantly related with some groups of people:women who were out of healthy care area;poorer economic condition; and less than 5 times antenatal visits. Though the prematurity and low birth rateafter 1990s were higher than that of the period from 1986 to 1990, the perinatal mortality was ofno significant diffrence. We conclued that severe PIH was concentrated in some special population.Particularly perinatal care should be paid attention to them.