妊娠高血压综合征对远期高血压发生的影响

Effect of pregnancy-induced hypertension syndrome on the onset of long-term hypertension

目的探讨妊娠高血压综合征(prengnancy induced hypertension syndrome,PIH)对远期高血压发生的影响。方法自制调研问卷,针对恩平市人民医院2005年1月至2011年1月妇科就诊的符合入选条件的800例患者进行调查,PIH50例,列入PIH组,非PIH750例,列入非PIH组。调查两组远期高血压发生的情况。结果 PIH组确诊高血压的患者比例明显高于非PIH组(36.00%vs.5.73%,P<0.05),其高血压征兆患者比例明显高于非PIH组,差异均有统计学意义(24.00%vs.1.47%,P<0.05)。两组高血压发病率均随年龄增长而上升,但在三个不同年龄段中,PIH患者高血压发病率均明显高于非PIH组,差异均有统计学意义(P<0.05)。结论 PIH可作为远期高血压发病的一个危险因素,对于分娩时发生PIH的妇女应加强高血压发病的预防。

Objectives To study the effect of pregnancy induced hypertension syndrome （PIH） on the onset of long- term hypertension. Methods Totally 800 patients visited gynecological clinic from January 2005 to January 2011 in the People＇s Hospital of Enping City were investigated by self-designed questionnaire. Among them, 50 patients were in PIH group and the other 750 patients were in non-Pill group. The long-term hypertension conditions were observed and compared between the two groups. Results Proportion of patients diagnosed hypertension was significantly higher in PIH group than that in non-PIH group （36.00% vs. 5.73%,P〈0.05 ）, and so was the proportion of patients with symptoms of high blood pressure （24.00% vs. 1.47%, P〈0.05）. In the two groups, the older the patients were, the higher the incidence rates of hypertension were, but in the three different age paragraphs, incidence rates of hypertension in PIH group were all significantly higher than those of non-PIH group （P〈0.05）. Conclusions PIH can be a risk factor for the onset of long-telin hypertension. Prevention of hypertension should be paid attention to pregnant women with PIH.