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1、孕妇妊娠期高血压疾病危险因素研究谭惠琴（广丙省环江县妇幼保健院547100）【中图分类号】R544.lL文献标识码】A【文章编号】1672-5085（2012）13-0035-03【摘要】探讨孕妇妊娠期高血压疾病危险因素研宄。妊娠期高血压疾病包括妊娠期高血压、子痫前期、子痫、慢性高血压并发子痫前期以及慢性高血压。是妊娠期特有的疾病，其中妊娠期高血压、子痫前期、子痫统称为妊娠期高血压综合症、妊娠中毒症、妊娠尿毒症等。多数发生在妊娠20周与产后两周，约占所有孕妇的5%。其中一部分还伴有蛋白尿或水肿出现，病情严重者可出现抽搐、昏迷、脑出血、心力衰竭
2、、胎盘早剥和弥漫性血管内凝血、甚至发生母婴死亡为临床特点。对象从木科随机抽取2010年以来诊断的妊娠期高血压病例60例作为病例组。所有病例均符合文献[1]诊断标准。选取无妊娠期高血压疾病、且不患有肝、肾、甲状腺、高血压、糖尿病的正常孕妇260人作为为对照组，进行研究、分析。该对照组与病例组之间釆取群组匹配方式，匹配条件为孕妇的居住地类型进行多因素分析，以是否的妊娠期高血压疾病为变量（有定位为1,无定位为0）,各研宄因素为自变量分别引入多因素Logistic同回归方程。结果显示，心理压力大、母亲有妊妊娠期高血压疾病吏、产检次数、蔬菜水果撮入、孕
3、期增重、孕妇体重指数与妊娠期高血压疾病之间存在关系，差异有统计学意义（P<0.05）。【关键词】妊娠期高血压疾病危险因素研究[Abstract]Objective:Toexploretheriskfactorsofpregnantwomenwithgestationalhypertensiondiseaseresearch.Hypertensivedisordersinpregnancyincludegestationalhypertension,preeclampsia,eclampsia,chronichypertensionandpre
4、eclampsiaandchronichypertension.Isgestationalcharacteristicofthedisease,includinggestationalhypertension,preeclampsia,eclampsia,collectivelyreferredtoasthepregnancyinducedhypertensionsyndrome,suchasuremia,pregnancytoxemiaofpregnancy.Mostoccurredat20weeksofgestationandtwowee
5、kspostpartum,accountingforabout5%ofallpregnantwomen.Aportionofwhichisalsoaccompaniedbyproteinuriaandedema,severecasescanappearconvulsion,coma,cerebralhemorrhage,placentalabruption,heartfailureanddisseminatedintravascularcoagulation,evenfortheclinicalfeaturesofinfantandmater
6、nalmortality.Objectfromundergraduateto2010randomlyselectedsincediagnosisofgestationalhypertension60casesascasegroup.Allcaseswereconsistentwiththeliterature(1)diagnosticcriteria.Choosingofhypertensivedisordersinpregnancy,anddoesnotsufferfromliver,kidney,thyroid,hypertension,
7、diabetesmellitusinnormalpregnantwomenand260ascontrolgroup,conductresearch,analysis.Thecontrolgroupandthecasestakenbetweengroupmatching,matchingconditionforpregnantwomen'sresidencetypeanalysisofmultiplefactors,astowhetherthehypertensivedisordersinpregnancyasvariables(alocati
8、onforthe1,nopositionfor0),thestudyoffactorsasindependentvariablesareintroducedwith
