妊娠期高血压疾病发生的相关危险因素分析

Clinical analysis of risk factors of incidence of hypertensive disorder complicating pregnancy

目的 探讨妊娠期高血压疾病（HDCP）的危险因素,为HDCP的预防和治疗提供参考.方法 回顾性分析2 217例孕产妇的临床资料,对HDCP发生的相关社会因素和产科因素进行统计学分析.结果 2 217例孕产妇发生HDCP 186例,发生率为8.4%.单因素分析结果显示,居住地、产前系统检查、产次与HDCP发生有关（χ2=11.2331、10.6781、5.4456,均P＜0.05）,而HDCP发生与年龄、流产史、胎次等因素无明显相关性（χ2=4.9201、3.0134、1.7301,均P＞0.05）;多因素Logistic回归分析表明,居住地为农村和产前未经过系统检查是HDCP发生的危险因素.结论 居住地为农村和产前未经过系统检查是HDCP发生的危险因素,对这二个危险因素加以重点评估和合理控制,可以控制HDCP的发生.

Objective To investigate the risk factors of incidence of hypertensive disorder complicating pregnancy（HDCP）and provide reference for prevention and treatment of HDCP.Methods The clinical information of 2 217 cases of maternal delivery were retrospectively analyzed;The relevant social factors and obstetric factors of HDCP were analyzed.Results 186 cases of HDCP occurred in 2 217 cases of maternal,the incidence rate of HDCP was 8.4%.The single-factor analysis showed that the place of residence.prenatal system checks and parity had certain degree of contact with incidence of HDCP（χ2=11.2331,10.6781,5.4456,all P〈0.05）,and the age,abortion history and parity had no significant correlation with incidence of HDCP（χ2=4.9201,3.0134,1.7301,all P〉0.05）.Multivariate Logistic regression analysis showed that the rural living and no prenatal system check were risk factors of incidence of HDCP.Conclusion The maternal of rural living and no prenatal system check were the high-risk population of HDCP,and emphasis assessment and reasonable control these factors could reduce the incidence of HDCP.