孕妇妊娠期高血压疾病危险因素研究.docVIP

精品论文 参考文献 孕妇妊娠期高血压疾病危险因素研究 谭惠琴（广西省环江县妇幼保健院 547100 ） 【中图分类号】R544.1【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究。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、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。对象从本科随机抽取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采取群组匹配方式，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），各研究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: To explore the risk factors of pregnant women with gestational hypertension disease research. Hypertensive disorders in pregnancy include gestational hypertension, preeclampsia, eclampsia, chronic hypertension and preeclampsia and chronic hypertension. Is gestational characteristic of the disease, including gestational hypertension, preeclampsia, eclampsia, collectively referred to as the pregnancy induced hypertension syndrome, such as uremia, pregnancy toxemia of pregnancy. Most occurred at 20 weeks of gestation and two weeks postpartum, accounting for about 5% of all pregnant women. A portion of which is also accompanied by proteinuria and edema, severe cases can appear convulsion, coma, cerebral hemorrhage, placental abruption, heart failure and disseminated intravascular coagulation, even for the clinical features of infant and maternal mortality. Object from undergraduate to 2010 randomly selected since diagnosis of gestational hypertension 60 cases as case group. All cases were consistent with the literature ( 1) diagnostic criteria. Choosing of hypertensive disorders in pregnancy, and does not suffer from liver, kidney, thyroid, hypertension, diabetes mellitus in normal pregnant women and 260 as control group, conduct research, analysis. The control group and the cases taken between group matching, matching condition