摘要
目的:探讨重度子痫前期患者产后发生高血压的影响因素。方法:回顾性分析2020年1月至2021年1月该院收治的82例重度子痫前期患者的临床资料,根据患者产后是否发生高血压分为发生组和未发生组,收集两组患者一般临床资料,并对重度子痫前期患者产后发生高血压的影响因素进行单因素和多因素Logistic回归分析。结果:82例重度子痫前期患者产后发生高血压者15例,发生率为18.29%;单因素分析显示,发生组有高血压家族史、产后缺乏体力劳动及血清三酰甘油(TG)、总胆固醇(TC)、空腹血糖(FPG)水平升高占比均高于未发生组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,有高血压家族史、产后缺乏体力活动和TG、TC、FPG水平升高均为影响重度子痫前期患者产后发生高血压的独立危险因素(OR>1,P<0.05)。结论:有高血压家族史、产后缺乏体力活动和TG、TC、FPG水平升高均为影响重度子痫前期患者产后发生高血压的独立危险因素。
Objective: To explore influencing factors of postpartum hypertension in patients with severe preeclampsia. Methods: The clinical data of 82 patients with severe preeclampsia admitted to our hospital from January 2020 to January 2021 were retrospectively analyzed.According to whether the patients developed hypertension after delivery or not, they were divided into occurrence group and non-occurrence group.The general clinical data of the two groups were collected. The univariate and multivariate Logistic regression analysis were performed on the influencing factors of postpartum hypertension in the patients with severe preeclampsia. Results: Among the 82 patients with severe preeclampsia, 15patients developed hypertension after the delivery, and the incidence rate was 18.29%. Univariate analysis showed that the proportions of the patients with family history of hypertension, lack of postpartum physical labor, and elevated serum triglyceride(TG), total cholesterol(TC), fasting plasma glucose(FPG) levels in the occurrence group were higher than those of the non-occurrence group, and the differences were statistically significant(P<0.05). Logistic regression analysis showed that family history of hypertension, postpartum lack of physical activity, and elevated TG, TC, and FPG levels were all risk factors for postpartum hypertension in the patients with severe preeclampsia(OR>1, P<0.05). Conclusions: Family history of hypertension, postpartum lack of physical activity, and elevated levels of TG, TC, and FPG are all risk factors for postpartum hypertension in the patients with severe preeclampsia.
作者
苏欣
SU Xin(Department of Obstetrics and Gynecology of Lushan County Maternal and Child Health Hospital,Pingdingshan 467300 Henan,China)
出处
《中国民康医学》
2022年第11期8-10,共3页
Medical Journal of Chinese People’s Health
关键词
重度子痫前期
高血压
家族史
体力活动
空腹血糖
血脂
影响因素
Severe preeclampsia
Hypertension
Family history
Physical activity
Fasting blood glucose
Blood lipid
Influencing factor