慢性高血压孕妇并发子痫前期危险因素分析.docVIP

慢性高血压孕妇并发子痫前期危险因素分析 　　[摘要] 目的 探讨慢性高血压孕妇并发子痫前期的危险因素。 方法 选取2011年10月～2014年4月在本院进行治疗的30例慢性高血压合并妊娠患者为对照组，同期本院收治的32例高血压妊娠并发子痫前期患者为实验组。观察并比较两组的孕前体质量指数、血糖、血压、尿蛋白，孕中晚期血压和尿蛋白、血液生化指标等。 结果 实验组孕晚期血压和尿蛋白明显高于对照组（P0.05）。实验组孕前体质量指数、血糖较对照组高，规范使用降压药发生率较对照组低（P0.05）。实验组血红蛋白、血尿酸、乳酸脱氢酶均高于对照组，差异有统计学意义（P0.05）。血红蛋白、尿酸为慢性高血压患者并发子痫前期的危险因素。 结论 孕前体质量指数高、血糖高、孕期未规范使用降压药（或未用药），尿蛋白、高尿酸浓度和血液高凝状态有助于慢性高血压孕妇并发子痫前期的诊断。 　　[关键词] 慢性高血压；孕妇；子痫前期；危险因素 　　[中图分类号] R714.24+6 [文献标识码] A [文章编号] 1674-4721（2015）02（a）-0043-03 　　Risk factor analysis of pregnant women with chronic hypertension complicated with preeclampsia 　　CUI Jian-ling CHEN Ping CHEN Ye YANG Dong-qun LUO Shu-ping SHENG Xia-ling 　　Department of Obstetrics，the First Maternal and Child Health Hospital of Huizhou City in Guangdong Province，Huizhou 516000，China 　　[Abstract] Objective To explore the risk factor of pregnant women with chronic hypertension complicated with preeclampsia. Methods 30 pregnant women with chronic hypertension treated in our hospital from October 2011 to April 2014 were selected as control group.During the same period，32 pregnant women with chronic hypertension complicated with preeclampsia admitted into our hospital were categorized into experimental group.Body mass index（BMI），blood glucose，blood pressure and urine protein before pregnancy，as well as blood pressure，urine protein，blood biochemical index and difference of fundus examination during mid-and late pregnancy were observed and compared in two groups. Results The blood pressure and urine protein in late pregnancy of experimental group was greatly higher than that of control group respectively（P0.05）.The BMI and blood glucose before pregnancy in experimental group was higher than that in control group respectively，incidence rate on regulate use of antihypertensive drug in experimental group was lower that in control group（P0.05）.Hemoglobin，serum uric acid，lactic dehydrogenase in experimental group was higher than that in control group respectively，with statistical di