| 马蕊,刘建蒙,李松,叶荣伟,陈华,薛明君,王太梅,成伶春,郑俊池,吴立民,潘玉娟,陈浩,李竹.浙江省嘉兴地区妊娠高血压综合征发病状况研究[J].Chinese journal of Epidemiology,2005,26(12):960-963 |
| 浙江省嘉兴地区妊娠高血压综合征发病状况研究 |
| Study on the descriptive epidemiology of pregnancy-induced hypertension from 1995-2000 in Jiaxing of Zhejiang province, China |
| Received:April 20, 2005 |
| DOI： |
| KeyWord: 妊娠高血压综合征 发病率 流行病学 |
| English Key Word: Pregnancy-induced hypertension Incidence rate Epidemiology |
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| Abstract: |
| 目的 描述妊娠高血压综合征(妊高征)的流行病学分布特征。方法 资料来源于“中美预防出生缺陷和残疾合作项目”围产保健监测的常规报告。研究对象为浙江省嘉兴地区1995—2000年分娩的所有孕满20周的孕产妇136070名。结果 共诊断妊高征15127例，总发病率为11．1%，轻、中、重度妊高征构成比依次为71．4%、22．3%和6．3%，孕中期、孕晚期和产时发病的妊高征构成比依次为4．2%、34．4%和61．4%。在分布特征方面，妊高征年均发病率呈下降趋势，即由1995年的10．7%下降至2000年的8．6%，下降了19．6%；城市、年龄(<20岁或>35岁)、农民、低文化程度、双(多)胎、春夏季受孕和冬春季分娩者高发。与1988年的调查相比，妊高征发病率比全国水平高18．1%，而重度的构成比较全国水平低68．8%。城乡发病率差异较小，但农村重度妊高征构成比显著高于城市。结论 妊高征发病率存在分布特征，其发病率比1988年全国调查的结果高，但以轻度为主。 |
| English Abstract: |
| Objective To describe the epidemiological characters of pregnancy-induced hypertension (PIH) in Jiaxing areas of Zhejiang province of China between 1995 and 2000.Methods We analyzed the perinatal health surveillance data that was collected as part of the Sino-American cooperative project on neural tube defects prevention established in 1992.The study population consisted of 136 070 pregnant women with at least 20 weeks of gestational age.National diagnostic criteria were used to identify the cases which were divided into three subgroups: mild,moderate and severe.Results 15 127 cases were identified and the overall incidence rate of PIH was 11.1% (95% CI: 11.0%-11.3%).Among all the cases, mild, moderate and severe PIH were accounted for 71.4%,22.3% and 6.3%, respectively.The proportions of PIH cases that occurred in the second trimester, third trimester and during delivery appeared to be 4.2%, 34.4% and 61.4%,respectively.There was a significant fall in the trend of PIH occurrence every year, which dropped from 10.7% in 1995 to 8.6% in 2000 by 19.6%.More risk of PIH seemed to be related to those mothers living in the urban areas with age under 20 or above 35, being peasants and having little educational, having had multiple gestations, conceiving in spring/summer or delivering in winter or spring etc.Compared with the results of national survey in 1988, the incidence rate of PIH was higher by 18.1 %, while the proportion of severe PIH was much lower by 68.8%.Although the incidence rates of PIH in urban and rural areas were somehow similar, the proportion of severe PIH in rural areas was much higher than that in urban areas.Conclusion Overall incidence rate and distribution of PIH were reported.Compared with the results in 1988, incidence rate of PIH was much higher,particularly for mild cases |
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