| 赵伟,王建华.妊娠高血压综合征的筛检及相关危险因素的研究[J].Chinese journal of Epidemiology,2004,25(10):845-847 |
| 妊娠高血压综合征的筛检及相关危险因素的研究 |
| Screening program and risk factors on pregnancy-induced hypertension syndrome |
| Received:December 04, 2003 |
| DOI： |
| KeyWord: 妊娠高血压综合征|危险因素|非条件logistic回归 |
| English Key Word: Pregnancy-induced hypertension syndrome|Risk factor|Non-conditional logistic regression |
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| Abstract: |
| 目的 探讨一般女性人群中妊娠高血压综合征(PIH)发病的危险因素及各危险因素间的相互作用。方法 共3205名孕妇接受筛检,其中219例诊断为PIH,研究数据通过问卷调查和测量得到。用非条件logistic回归分析探讨PIH发生的危险因素。结果 单因素分析显示:年龄、家庭收入与PIH的发生有关联;高血压家族史增加PIH发生的危险。经产史、自然流产次数增加了孕妇发生PIH的危险;高孕中体重增加了孕妇发生PIH的危险。多因素分析表明:年龄(OR=1.801,95%CI:1.106～2.934)、高血压家族史(OR=3.599,95%CI:1.862～6.947)、自然流产次数(OR=8.955,95%CI:4.118～19.427)、孕中体重(OR=3.062,95%CI:1.619～5.905)是PIH发生的危险因素。结论 加强对年龄大、自然流产次数多、有高血压家族史、高孕中体重的孕妇的检查,以预防PIH的发生。 |
| English Abstract: |
| Objective To study the risk factors of pregnancy-induced hypertension syndrome(PIH) and their interactions and to develop measures to prevent PIH and related obstetrical complications. Methods Of 3205 pregnant women, 219 cases were found to have PIH. Data were gathered through questionnaires and measurement. Non-conditional logistic regression was used to identify the risk factors of PIH. Results Single-factor logistic showed that age and family income were related to PIH. When family had history of hypertension, an increased incidence was seen. Parity and history of natural abortion increased the incidence of PIH. The risk for PIH increased significantly with factors related to heavier weight during pregnancy. Multi-factors non-conditional logistic regression showed that age(OR=1. 801, 95%CI: 1. 106-2. 934), number of natural abortion(OR=8.955,95%CI: 4.118-19.427), family history of hypertention (OR=8.955,95%CI:4.118-19.427), weight during pregnancy(OR=3.062,95%CI: 1.619-5.905)were related to the risks of PIH. Conclusion It is necessary to strengthen screening program when women with advanced age, family history of hypertention, the numbers of natural abortion, weight of pregnancy in the PIH prevention strategy. |
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