妊娠高血压综合征的相关因素分析

Induced hypertensive disorders of pregnancy related factors

目的 调查引起妊娠高血压综合征（PIH）的相关因素.方法 采用回顾性调查法调查3120例产妇临床资料,其中90例PIH产妇作为观察组 非PIH产妇3030例作为对照组.比较2组年龄、职业、孕前BMI、PIH家族史、定期产前检查、孕期情绪状况差异等.结果 观察组平均年龄大[（28.9±3.2）岁]、BMI高[（27.93±1.16）kg/m2]、有PIH家族史者较多[23例（25.6%）]、定期产前检查少[44例（48.9%）]、孕期情绪不佳[27例（30.O%）],与对照组上述各项指标相比[分别为：（26.27±3.45）岁、（26.13±1.02）kg/m2、245例（8.1%）、2387例（78.8%）、239例（7.89%）],差异均有统计学意义（均P＜0.05）.结论 PIH是多因素共同作用的结果,应针对上述因素采用相应的措施降低PIH的发生.

Objective To investigate the cause of hypertensive disorders of pregnancy-related factors.Methods A retrospective survey investigated 3120 cases of maternal clinical data and 90 pregnant women with hypertensive disorder were the observation group. Non-pregnant women 3030 cases of hypertension were a control group. Two groups were compared with age, occupation, body mass index before pregnancy, pregnancy induced hypertension, family history, regular antenatal care, emotional status during pregnancy, differences in serum calcium concentration. Results The average age of the two groups observed a large group [ （ 28.89 ± 3.22 ） years ], a high proportion of farmers （47 cases） , BMI higher [ （27.93 ± 1.16 ） kg/m2 ], there were more family history of PIH （ 23 cases） regular prenatal care less （44 cases）, negative mood, low serum calcium concentration （27 cases） , as risk factors for hypertensive disorders in pregnancy, compared with the control group, the difference was statistically significant （P 〈 0.05 ）. Conclusion Hypertensive disorder of pregnancy is due to multiple factors. These factors should be used for the appropriate measures to reduce the incidence of hypertensive disorders of pregnancy.