本文選題：西藏拉薩地區(qū) + 妊娠期高血壓疾病　； 參考：《東南大學學報(醫(yī)學版)》2017年04期

【摘要】：目的:探究并分析西藏拉薩地區(qū)孕婦妊娠期高血壓疾病的相關危險因素,為預防和干預措施提供參考。方法:選取2010年1月至2015年12月在西藏軍區(qū)總醫(yī)院婦產(chǎn)科診斷為妊娠期高血壓疾病并住院的134例孕婦為病例組,同時選取同期住院的134例健康孕婦作為對照組,分析孕婦妊娠期高血壓疾病的相關危險因素,包括年齡、文化程度、世居或是移居、居住海拔、補鈣情況、孕前高血壓病史等。結(jié)果:妊娠期高血壓疾病的發(fā)生與年齡、文化程度、居住海拔、補鈣情況、孕前高血壓病史有相關性(P0.05)。多因素Logistic回歸分析結(jié)果表明,年齡(OR=0.598,P=0.044)、文化程度初中(OR=0.187,P=0.035)、居住海拔≥4 000 m(OR=2.361,P=0.023)、未進行規(guī)律補鈣(OR=2.526,P=0.048)、孕前高血壓病史(OR=67.231,P=0.001)、居住時間(OR=2.394,P=0.029)和民族分布(OR=2.481,P=0.036)是妊娠期高血壓疾病發(fā)病的危險因素。各因素的貢獻值由大至小依次為孕前高血壓病史、居住海拔、文化程度、民族分布、年齡、補鈣情況。結(jié)論:孕婦高齡、文化程度低、居住海拔高、未進行規(guī)律補鈣、孕前高血壓病史、居住時間≥10年和世居民族是西藏拉薩地區(qū)妊娠期高血壓疾病發(fā)病的危險因素,針對以上人群應該加強預防和監(jiān)控,減少妊娠期高血壓疾病的發(fā)生。
[Abstract]:Objective: to explore and analyze the risk factors of hypertensive disorder complicating pregnancy in pregnant women in Lhasa, Tibet, and to provide reference for prevention and intervention.Methods: from January 2010 to December 2015, 134 pregnant women who were diagnosed as hypertensive disorder complicating pregnancy and hospitalized in general hospital of Tibet military region from January 2010 to December 2015 were selected as the case group, while 134 healthy pregnant women in the same period were selected as the control group.To analyze the risk factors of hypertensive disorder complicating pregnancy in pregnant women, including age, education, descent or migration, altitude, calcium supplementation, history of pre-pregnancy hypertension and so on.Results: the incidence of hypertensive disorder complicating pregnancy was correlated with age, education level, altitude of residence, calcium supplementation and history of hypertension before pregnancy (P 0.05).The contribution value of each factor from big to small is the history of pre-pregnancy hypertension, living altitude, education level, ethnic distribution, age, calcium supplementation.Conclusion: the risk factors of gestational hypertension in Lhasa area of Tibet are old age, low education level, high living altitude, irregular calcium supplementation, history of pre-pregnancy hypertension, residence time 鈮，

本文編號：1772632