西藏拉萨地区孕妇妊娠期高血压疾病相关危险因素研究

发布时间：2018-04-19 10:01

  本文选题：西藏拉萨地区 + 妊娠期高血压疾病　； 参考：《东南大学学报(医学版)》2017年04期

【摘要】：目的:探究并分析西藏拉萨地区孕妇妊娠期高血压疾病的相关危险因素,为预防和干预措施提供参考。方法:选取2010年1月至2015年12月在西藏军区总医院妇产科诊断为妊娠期高血压疾病并住院的134例孕妇为病例组,同时选取同期住院的134例健康孕妇作为对照组,分析孕妇妊娠期高血压疾病的相关危险因素,包括年龄、文化程度、世居或是移居、居住海拔、补钙情况、孕前高血压病史等。结果:妊娠期高血压疾病的发生与年龄、文化程度、居住海拔、补钙情况、孕前高血压病史有相关性(P0.05)。多因素Logistic回归分析结果表明,年龄(OR=0.598,P=0.044)、文化程度初中(OR=0.187,P=0.035)、居住海拔≥4 000 m(OR=2.361,P=0.023)、未进行规律补钙(OR=2.526,P=0.048)、孕前高血压病史(OR=67.231,P=0.001)、居住时间(OR=2.394,P=0.029)和民族分布(OR=2.481,P=0.036)是妊娠期高血压疾病发病的危险因素。各因素的贡献值由大至小依次为孕前高血压病史、居住海拔、文化程度、民族分布、年龄、补钙情况。结论:孕妇高龄、文化程度低、居住海拔高、未进行规律补钙、孕前高血压病史、居住时间≥10年和世居民族是西藏拉萨地区妊娠期高血压疾病发病的危险因素,针对以上人群应该加强预防和监控,减少妊娠期高血压疾病的发生。
[Abstract]:Objective: to explore and analyze the risk factors of hypertensive disorder complicating pregnancy in pregnant women in Lhasa, Tibet, and to provide reference for prevention and intervention.Methods: from January 2010 to December 2015, 134 pregnant women who were diagnosed as hypertensive disorder complicating pregnancy and hospitalized in general hospital of Tibet military region from January 2010 to December 2015 were selected as the case group, while 134 healthy pregnant women in the same period were selected as the control group.To analyze the risk factors of hypertensive disorder complicating pregnancy in pregnant women, including age, education, descent or migration, altitude, calcium supplementation, history of pre-pregnancy hypertension and so on.Results: the incidence of hypertensive disorder complicating pregnancy was correlated with age, education level, altitude of residence, calcium supplementation and history of hypertension before pregnancy (P 0.05).The contribution value of each factor from big to small is the history of pre-pregnancy hypertension, living altitude, education level, ethnic distribution, age, calcium supplementation.Conclusion: the risk factors of gestational hypertension in Lhasa area of Tibet are old age, low education level, high living altitude, irregular calcium supplementation, history of pre-pregnancy hypertension, residence time 鈮，

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