摘要
目的研究妊娠高血压疾病发病相关因素与母婴不良结局的关系。方法以2013年1月至2015年6月收治的200例妊娠高血压疾病患者为研究对象,收集并整理所有患者病例资料,包括妊娠高血压严重程度、孕周、孕次、分娩方式、合并症、母婴不良结局等,单因素及多因素logistic回归分析妊娠高血压疾病发病因素及分娩方式对母婴不良结局的影响。结果母婴不良结局:母亲不良结局55例(27.5%),胎儿不良结局48个(21.5%),新生儿不良结局47个(21.3%)。相关性:尿蛋白严重程度与妊娠高血压疾病程度正相关(P<0.05)。单因素及logistic多因素回归分析发现母婴不良结局与妊娠高血压疾病发病孕周、分娩孕周及尿蛋白有关。结论及时发现并严格控制妊娠高血压疾病及蛋白尿程度,最大限度延长分娩孕周能有效减少母婴不良结局发生。
Objective To study the relationship between the pathogenic factors of gestational hypertension and mother and infant adverse outcomes. Methods 200 cases of patients with gestational hypertension treated in our hospital from January 2013 to June 2015 were taken as the research objects. The clinical data of all the patients were collected and analyzed,including the severity of gestational hypertension,gestational age,times of pregnancy,delivery mode,complications,mother and infant adverse outcomes,et al. Univariate and multivariate Logistic multiple regression analysis were performed to analyze the effects of the pathogenic factors of gestational hypertension and delivery mode on mother and infant adverse outcomes. Results There were 55 cases( 27. 5%) of mother and infant adverse outcomes,48 cases( 21. 5%) of fetal adverse outcomes and 47 cases( 21. 3%) of neonatal adverse outcomes. Correlation: the severity of urinary protein was positively correlated with the severity of gestational hypertension( P < 0. 05). Univariate and multivariate Logistic regression analysis showed that mother and infant adverse outcomes were related to the gestational age,delivery gestational age and urine protein of gestational hypertension. Conclusion To timely detect and strictly control gestational hypertension and the severity of proteinuria and to extend the delivery gestational age to the maximum can effectively reduce the incidence of mother and infant adverse outcomes.
出处
《安徽医学》
2016年第1期31-34,共4页
Anhui Medical Journal
关键词
妊娠高血压疾病
发病因素
母婴不良结局
相关性
Gestational hypertension
Pathogenic factors
Mother and infant adverse outcomes
Correlation
