妊娠期高血压疾病患者孕期体质指数与血脂的变化及其影响

The Changes and Effects of Body Mass Index and Blood Lipid in Pregnancy of Patients with Hypertensive Disorders

目的:分析研究妊娠期高血压疾病患者孕期体质指数(BMI)与血脂的变化及其影响。方法:选取修水县第一人民医院在2016年1月~2017年6月收治的75例妊娠期高血压患者作为本次的研究对象,将其分别按照孕前体质指数、孕期体质指数增幅、血脂情况分组。其中,孕前体质指数组分为偏瘦组(22例)、正常组(25例)、超重组(28例);孕期体质指数增幅组又分为增重过低组(22例)、增重正常组(25例)、增重过度组(28例);血脂情况组又分为血脂正常组(34例)、血脂偏高组(41例)。记录对比在不同分组前提下各组妊娠高血压产妇的生产并发症发生率、围产儿并发症发生率。结果:按孕前体质指数分组时,偏瘦组产妇的生产并发症发生率为36.36%,围生儿并发症发生率为50.00%;正常组产妇的生产并发症发生率为8.00%,围生儿并发症发生率为12.00%;超重组产妇的生产并发症发生率为57.14%,围生儿并发症发生率为64.29%;组间比较,差异显著,且P<0.05,具有统计学意义。按孕期体质指数增幅分组中,增重过低组产妇的生产并发症发生率为45.48%,围生儿并发症发生率为54.55%;增重正常组产妇的生产并发症发生率为8.00%,围生儿并发症发生率为12.00%;增重过度组产妇的生产并发症发生率为46.41%,围生儿并发症发生率为57.14%;组间比较,差异显著,且P<0.05,具有统计学意义。按血脂血脂情况分组时,血脂正常组产妇的生产并发症发生率为11.76%,围生儿并发症发生率为11.76%;血脂偏高组产妇的生产并发症发生率为53.66%,围生儿并发症发生率为65.85%;组间比较,差异显著,且P<0.05,具有统计学意义。结论:孕期产妇的血脂水平、体质指数与妊娠期高血压疾病的发生几率有着密切关系,对产妇的血脂水平、体质指数进行密切的关注和有效的控制,能够降低妊娠期高血压疾病的产妇及围生儿的并发症,对保障产妇以及新生儿的生活质量和机体健康有着重要的意义。

Objective:To analyze the changes and effects of patients with hypertensive disorders in pregnancy body mass index and blood lipid of pregnancy.Methods:75patients with gestational hypertension in our hospital from January2016to June2017were used as the research object,which were inaccordance with the pre pregnancy body mass index,during the growth of BMI,blood lipid group.Among them,the pre pregnancy body mass index weredivided into low underweight group(22cases),normal group(25cases),overweight(28cases);pregnancy increase in BMI group was divided into lowweight group(22cases),normal weight group(25cases),excessive weight group(28cases);blood lipid.Case group was divided into normal lipid group(34cases),hyperlipemia group(41cases).The incidence rate were recorded and compared in different groups of groups of pregnancy induced hypertensionmaternal complications,perinatal complications.Results:According to the pre pregnancy BMI group,low maternal lean production complication rate36.36%,perinatal complication rate was50%;the incidence of maternal complications in the normal group was8%,the perinatal complication rate was12%;the maternal complications in the overweight group was57.14%,the perinatal complication rate was64.29%,P<0.05.According to BMI duringpregnancy increase group,low weight group production complication incidence rate was45.48%,the perinatal complication rate was54.55%;the productionof maternal complications,normal weight group was8%,the perinatal complication rate was12%increase the production of excessive weight;complicationgroup incidence rate was46.41%,the perinatal complication rate was57.14%,P<0.05.According to the blood lipid,production of maternal complicationsoccurred was11.76%in normal blood lipids,the of the perinatal complication rate was11.76%;the production of maternal complications incidence rate was53.66%in the high blood lipids group,the perinatal complication rate was65.85%,P<0.05.Conclusion:The incidence of BMI and gestational hypertensionis closely related to the level of maternal blood lipid,body mass index.Thus,close attention and effective control should be performed to reduce theincidence of hypertensive disorders in pregnancy,to ensure maternal and newborn life,which is of great significance to the quality of life and health.