长沙市某区妊娠期高血压疾病的流行状况.doc

长沙市某区妊娠期高血压疾病的流行状况及相关危险因素分析邓庚1， 蒋卫红1， 李颖2， 罗琼3， 郭运忠1， 谭丽华11.中南大学湘雅三医院心内科，长沙 410013； 2.长沙市岳麓区卫生局，长沙 410013；3.长沙市岳麓区妇幼保健所，长沙 410006摘要： 目的：了解长沙市某区妊娠期高血压疾病的流行状况，探讨其相关危险因素，为其早期预警及干预提供流行病学依据。方法：从长沙市某区妇幼保健所收集该区2008至2009年间的《孕产妇保健手册》共2 148份，对其中的相关指标进行回顾性研究，并对相关因素进行多因素非条件logistic回归分析。结果：该区2008至2009年间妊娠期高血压疾病的发生率为5.21%；多因素非条件logistic回归分析显示年龄（＞35岁）（OR=6.440，95%CI:2.987~13.884）、孕前体质量指数（OR=2.180，95%CI:1.619~2.936）、糖尿病或肾脏疾病史（OR=14.221，95%CI: 3.990~50.684）均为妊娠期高血压疾病的危险因素。结论：年龄、孕前体质量指数、糖尿病或肾脏疾病史是妊娠期高血压疾病的危险因素；而孕次、产次、流产次数及多胎妊娠与妊娠期高血压疾病的发生无明显关联。关键词：  HYPERLINK /xbwk/CN/abstract/abstract1906.shtml \l # 妊娠期高血压疾病??  HYPERLINK /xbwk/CN/abstract/abstract1906.shtml \l # 危险因素??  HYPERLINK /xbwk/CN/abstract/abstract1906.shtml \l # logistic回归?? Epidemiological status and risk factors for hypertensive disorder complicating pregnancy in a district in ChangshaDENG Geng1, JIANG Weihong1, LI Ying2, LUO Qiong3, GUO Yunzhong1, TAN Lihua1 1.Department of Cardiology, Third Xiangya Hospital, Central South University, Changsha 410013; 2.Department of Health Bureau of Yuelu District, Changsha 410013; 3.Maternal and Child Health Institute of Yuelu District, Changsha 410006， China Abstract: ObjectiveTo comprehend the epidemiological status and risk factors in hypertensive disorder complicating pregnancy (HDCP) in a district in Changsha, and to provide epidemiological evidence for early intervention of HDCP.? MethodsA total of 2 148 pregnant women in a district in Changsha from 2008 to 2009 were retrospectively analyzed and the related factors were evaluated by multivariate unconditional logistic analysis. ResultsThe incidence of HDCP was 5.21%? from 2008 to 2009. Multivariate unconditional logistic regression analysis showed that age （＞35 years old）（OR=6.440，95%CI:2.987-13.884）, body mass index (BMI) before pregnancy （OR=2.180，95%CI:1.619-2.936）, and history of diabetes or kidney disease （OR=14.221，95%CI: 3.990-50.684） were risk factors for HDCP