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慢性高血压孕妇孕期增重与血压水平对妊娠结局的影响

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摘要 目的探讨慢性高血压孕妇孕期体重增加及血压水平对妊娠结局的影响.方法回顾性分析2017年1月至2019年6月我院收治的155例妊娠合并慢性高血压孕妇产检及住院分娩资料.其中62例为慢性高血压(慢高组),93例并发子痫前期(子痫前期组).分析两组患者孕期体质量增长情况、血压水平及及母儿结局.结果两组患者一般资料比较的差异无统计学意义(P>0.05).与慢性高血压组相比,并发子痫前期组在孕中期增重及孕中晚期平均动脉压(MAP)的差异有统计学意义(P<0.05).多因素Logistic回归显示,孕中期增重(OR=1.27,95%CI:1.091~1.478,P=0.002)、孕中期平均动脉压(OR=1.086,95%CI:1.030~1.144,P=0.002)为慢性高血压并发子痫前期高危因素.结论重视慢性高血压孕妇孕中期的血压和体质量管理,可能有助于降低母儿不良结局,改善母儿预后.
出处 《福建医药杂志》 CAS 2022年第4期76-79,共4页 Fujian Medical Journal
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