摘要
目的探讨妊娠期高血压患者不良妊娠结局情况及其发生的影响因素分析。方法选取2018年1月—2020年1月福州市第一医院收治妊娠期高血压患者64例作为研究组,并取同时期体检妊娠期妇女64例作为对照组,比较两组不良妊娠结局。以调查问卷收集两组对象的年龄、孕周、孕前体重指数(body mass index,BMI)、高血压家族史、不良情绪、分娩史、流产史、居住环境及文化水平情况;并进行单因素和多因素Logistic回归分析,筛选妊娠期高血压的影响因素。结果研究组产后出血、低出生体重儿及胎儿窘迫发病率高于对照组,差异有统计学意义(P<0.05)。研究组孕前BMI、高血压家族史、不良情绪及高中以下文化水平分布高于对照组,差异有统计学意义(P<0.05)。单因素Logistic回归分析显示,孕前BMI≥24 kg/m^(2)、高血压家族史、不良情绪及高中以下文化水平均是妊娠期高血压的危险因素(P<0.05)。多因素Logistic回归分析显示,在排除其他因素干扰后,孕前BMI≥24 kg/m^(2)、高血压家族史、不良情绪及高中以下文化水平依然是妊娠期高血压的危险因素(P<0.05)。结论妊娠期高血压会对母儿妊娠结局带来不利影响,只有充分了解这些因素并进行早期干预,才可进一步减少不良妊娠结局的出现。
Objective To investigate the adverse pregnancy outcome and its influencing factors in patients with gestational hypertension patients.Methods A total of 64 patients with gestational hypertension admitted to the First Hospital of Fuzhou from January 2018 to January 2020 were selected as the study group,and 64 pregnant women in the same period were selected as the control group.The adverse pregnancy outcomes of the two groups were compared.The age,gestational week,body mass index(BMI),family history of hypertension,negative emotion,delivery history,abortion history,living environment and education level of the two groups were collected by questionnaire.The univariate and multivariate logistic regression analysis were conducted to screen the influencing factors of gestational hypertension.Results The incidence rate of postpartum hemorrhage,low birth weight infants and fetal distress in the study group was significantly higher than that in the control group(P<0.05).The distribution of BMI before pregnancy,family history of hypertension,negative emotion and education level below high school in the study group was significantly higher than that in the control group(P<0.05).Univariate logistic regression analysis showed that BMI≥24 kg/m^(2)before pregnancy,family history of hypertension,negative emotion and education level below high school were the risk factors of gestational hypertension(P<0.05).Multivariate logistic regression analysis showed that BMI≥24 kg/m^(2)before pregnancy,family history of hypertension,negative emotion and education level below high school were independent risk factors for gestational hypertension(P<0.05).Conclusion Gestational hypertension will have adverse effects on pregnancy outcome of mother and fetus.Onlyfully understanding these factors and early intervention can further reduce the occurrence of adverse pregnancy outcome.
作者
高翔
刘林丽
邓超
林景
朱琴娣
GAO Xiang;LIU Linli;DENG Chao;LIN Jing;ZHU Qindi(Department of Obstetrics,The First Hospital of Fuzhou,Fuzhou 350000,Fujian Province,China)
出处
《中国实用乡村医生杂志》
2022年第12期73-76,80,共5页
Chinese Practical Journal of Rural Doctor
基金
福州市科技计划项目,项目编号:2018-S-105-4
关键词
高血压
妊娠期
妊娠结局
因素
回归分析
Hypertension
Pregnancy
Pregnancy Outcome
Factor
Regression Analysis
