摘要
目的探讨重度与轻度子痫前期孕产妇临床发病风险因素和产检情况,为临床治疗提供参考。方法选取2014年3月-2016年3月淮阴区妇幼保健院收治的80例符合纳入标准的非规律产检的子痫前期患者为研究对象,其中重度子痫69例(重度组);轻度子痫11例(轻度组)。分析两组临床发病风险因素及产检情况。结果重度组的早发型子痫前期的比例明显高于轻度组(P<0.05);产检医院等级越低,其重度子痫前期的比例越高(P<0.05);两组临床发病风险因素均无统计学意义(均P>0.05);重度组的获得诊断前产前检查间隔时间较长,而检查次数较少(均P<0.05);重度组的诊断子痫前期孕周及入三级医院孕周均较轻度组早,差异具有统计学意义(P<0.05);多因素分析发现,妊娠20周后产检次数是重度子痫前期发病的独立危险因素(P=0.03)。结论非规律产检的重度子痫前期患者的发病与妊娠20周后产检次数、产检医院级别、产检间隔时间等有关。
Objective To explore the clinical risk factors and prenatal examination of pregnant women with mild and severe preeclampsia,provide a reference for clinical treatment. Methods Eighty patients with preeclampsia meeting the inclusion criteria and receiving irregular prenatal examination in Maternal and Child Health Care Hospital of Huaiyin District from March 2014 to March 2016 were selected and divided into severe preeclampsia group（ 69 patients） and mild preeclampsia group（ 11 patients）. The clinical risk factors and prenatal examination in the two groups were analyzed. Results The proportion of early-onset preeclampsia in severe preeclampsia group was statistically significantly higher than that in mild preeclampsia group（ P〈0. 05）. The lower the level of hospitals was,the higher the proportion of severe preeclampsia was（ P〈0. 05）. There was no statistically significant difference in the clinical risk factors between the two groups（ P〈0. 05）. In severe preeclampsia group,the interval time of prenatal examination before diagnosis was longer,and the number of prenatal examination was less（ P〈0. 05）. The gestational weeks of diagnosis and entering the hospital in severe preeclampsia group were earlier（ P〈0. 05）. Multivariate analysis showed that the number of prenatal examination after 20 weeks of gestation was the independent risk factor of onset of severe preeclampsia（ P = 0. 03）. Conclusion The onset of severe preeclampsia patients with irregular prenatal examination is correlated with the number of prenatal examination after 20 weeks of gestation,the level of hospital,and interval time of prenatal examination before diagnosis.
作者
张亚平
李金明
ZHANG Ya-Ping;LI Jin-Ming(Department of Gynecology and Obstetrics, Maternal and Child Health Care Hospital of Huaiyin District, Huaian, Jiangsu 223300, Chin)
出处
《中国妇幼保健》
CAS
2018年第8期1748-1751,共4页
Maternal and Child Health Care of China
关键词
子痫前期
发病风险
产检
因素分析
Preeelampsia
Onset risk
Prenatal examination
Factor analysis
作者简介
李金明，E-mail：780804875@qq．Com
