摘要
目的:探究年龄对妊娠高血压发病的影响。方法:选取2017年6月-2018年6月在本中心建立母子健康档案且已住院分娩的产妇1758例,依据年龄分为A组(≤24岁)、B组(25~29岁)、C组(30~34岁)、D组(35~39岁)、E组(≥40岁);其中妊娠高血压239例。比较各年龄组妊娠高血压发病情况,分析发生风险。结果:妊娠高血压疾病发生率均随着年龄的增长而升高,差异有统计学意义(P<0.05);各组重度子痫前期和子痫发生率比较,差异无统计学意义(P>0.05)。以B组25~29岁产妇为对照,发生风险为1;子痫前期在≥40岁时发生率最高,重度子痫前期的发生呈“U”字形,≤24岁和≥40岁时发生率较高,≤24岁的产妇子痫发生率为所有妊娠高血压疾病中最高。结论:高龄产妇多发妊娠高血压,≤24岁和≥40岁为高发人群,临床中应积极监测。
Objective:To explore the influence of age on the incidence of pregnancy induced hypertension.Methods:From June 2017 to June 2018,1758 parturients who had established maternal and child health records in the center and had been hospitalized were selected,according to age,they were divided into group A(≤24 years old),group B(25~29 years old),group C(30~34 years old),group D(35~39 years old),and group E(≥40 years old).There were 239 cases of pregnancy induced hypertension.We compared the incidence of pregnancy induced hypertension in different age groups and analyzed the risk.Results:The incidence of pregnancy induced hypertension increased with age,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of severe preeclampsia and eclampsia in each group(P>0.05).In group B,25 to 29 year-old parturients were taken as the control group,the risk was 1.The incidence of preeclampsia was the highest at≥40 years old,the occurrence of severe preeclampsia was U-shaped,the incidence was higher at the age of≤24 and≥40,the incidence of eclampsia is the highest among all hypertensive disorders of pregnancy in women under 24 years old.Conclusion:The elderly women often have pregnancy induced hypertension,the patients aged≤24 and≥40 are the high incidence population,and should be monitored actively in clinical practice.
作者
李红玲
李雨清
Li Hongling;Li Yuqing(Women Health Care Department,Dongxiaokou Community Health Service Center of Changping District,Beijing City,Beijing 102200)
出处
《中国社区医师》
2020年第23期76-77,80,共3页
Chinese Community Doctors
关键词
高血压
妊娠期
年龄
Hypertension
Pregnancy
Age