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目的:调查与妊娠高血压疾病(HDCP)相关的危险因素,以减少HDCP的发生。方法:回顾性分析2008～2010年收治的160例资料完整的HDCP孕产妇临床资料作为观察组,同时选择同期住院的160例正常孕产妇作为对照,比较两组在年龄、是否初产妇、孕前体重指数、HDCP家族史、是否系统产前检查、孕期情绪状况、文化程度等方面的差异。结果:与对照组比较观察组年龄偏大、初产妇比例高、孕前体重指数高、家族史多、未进行系统产前检查的例数多、负性情绪多、文化程度低,差异有统计学意义(P<0.05)。结论:HDCP是多因素共同作用的结果,应选择最佳年龄期孕育,加强初产妇健康宣教,孕期避免体重过度增幅;对HDCP家族史的孕产妇应加强监测,加强产前检查及心理疏导,控制体重指数在合理水平,降低HDCP的发生。
PURPOSE: To investigate risk factors associated with HDCP in order to reduce the incidence of HDCP. Methods: A retrospective analysis of 160 cases of HDCP maternal clinical data admitted from 2008 to 2010 as the observation group, and select the same period of hospitalized 160 cases of normal pregnant women as a control, the two groups in terms of age, whether primipara, pre-pregnancy weight Index, family history of HDCP, whether systematic prenatal examination, emotional status during pregnancy, educational level and so on. Results: Compared with the control group, the older the observation group was, the higher the proportion of primipara, the higher body mass index before pregnancy, the more family history, the number of cases without systematic prenatal examination, the more negative emotions, the lower educational level, the difference was statistically significant Significance (P <0.05). Conclusions: HDCP is the result of multi-factor interaction. The best age gestation should be selected to strengthen the health education of primipara and avoid overweight during pregnancy. Monitoring of HDCP family history should be strengthened to strengthen prenatal care and psychological counseling, Control of body mass index at a reasonable level, reducing the occurrence of HDCP.