再发子痫前期危险因素的分析

发布时间：2018-05-07 10:42

  本文选题：子痫前期 + 再发　； 参考：《实用妇产科杂志》2017年03期

【摘要】：目的:探讨再发子痫前期(PE)的相关危险因素。方法:采用回顾性病例对照研究的方法,选择2010年1月至2014年12月西安交通大学第一附属医院住院的有2次单胎妊娠且前次妊娠合并PE的孕妇139例为研究对象,根据第2次妊娠是否再次发生PE分为再发PE组(84例)和对照组(55例)。采用单因素分析及二项分类Logistic回归分析各因素和再发PE之间的相互关系。结果:单因素分析显示:再发PE组与对照组中再次妊娠时的年龄、再次妊娠孕前体质量指数(BMI)、前次妊娠PE发病孕周和终止孕周、两次妊娠间隔时间、合并慢性高血压的比较,差异有统计学意义(P0.05)。二项分类Logistic回归显示:再次妊娠时的年龄(≥35岁)、再次妊娠孕前超重及肥胖(BMI≥24 kg/m~2)、两次妊娠间隔时间(≥5年)是PE再次发生的独立危险因素(P0.05)。结论:对于有再发PE独立危险因素的妇女,孕期应积极采取有效的预防及监测,避免PE的再次发生。
[Abstract]:Objective: to investigate the risk factors of recurrent preeclampsia (PEI). Methods: a retrospective case-control study was conducted in 139 pregnant women with two single pregnancies and previous pregnancy with PE in the first affiliated Hospital of Xi'an Jiaotong University from January 2010 to December 2014. According to the second pregnancy, PE was divided into recurrent PE group (n = 84) and control group (n = 55). Single factor analysis and binomial Logistic regression analysis were used to analyze the relationship between the factors and recurrent PE. Results: univariate analysis showed that the age of recurrent PE group and control group at the time of re-pregnancy, the pre-pregnancy mass index (BMIA), the onset and termination of gestational weeks, the interval between two pregnancies, and chronic hypertension were compared between the previous pregnancy group and the control group. The difference was statistically significant (P 0.05). The Logistic regression analysis showed that the age of second pregnancy (鈮，

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