再發(fā)子癇前期危險(xiǎn)因素的分析
發(fā)布時(shí)間:2018-05-07 10:42
本文選題:子癇前期 + 再發(fā); 參考:《實(shí)用婦產(chǎn)科雜志》2017年03期
【摘要】:目的:探討再發(fā)子癇前期(PE)的相關(guān)危險(xiǎn)因素。方法:采用回顧性病例對(duì)照研究的方法,選擇2010年1月至2014年12月西安交通大學(xué)第一附屬醫(yī)院住院的有2次單胎妊娠且前次妊娠合并PE的孕婦139例為研究對(duì)象,根據(jù)第2次妊娠是否再次發(fā)生PE分為再發(fā)PE組(84例)和對(duì)照組(55例)。采用單因素分析及二項(xiàng)分類Logistic回歸分析各因素和再發(fā)PE之間的相互關(guān)系。結(jié)果:單因素分析顯示:再發(fā)PE組與對(duì)照組中再次妊娠時(shí)的年齡、再次妊娠孕前體質(zhì)量指數(shù)(BMI)、前次妊娠PE發(fā)病孕周和終止孕周、兩次妊娠間隔時(shí)間、合并慢性高血壓的比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。二項(xiàng)分類Logistic回歸顯示:再次妊娠時(shí)的年齡(≥35歲)、再次妊娠孕前超重及肥胖(BMI≥24 kg/m~2)、兩次妊娠間隔時(shí)間(≥5年)是PE再次發(fā)生的獨(dú)立危險(xiǎn)因素(P0.05)。結(jié)論:對(duì)于有再發(fā)PE獨(dú)立危險(xiǎn)因素的婦女,孕期應(yīng)積極采取有效的預(yù)防及監(jiān)測(cè),避免PE的再次發(fā)生。
[Abstract]:Objective: to investigate the risk factors of recurrent preeclampsia (PEI). Methods: a retrospective case-control study was conducted in 139 pregnant women with two single pregnancies and previous pregnancy with PE in the first affiliated Hospital of Xi'an Jiaotong University from January 2010 to December 2014. According to the second pregnancy, PE was divided into recurrent PE group (n = 84) and control group (n = 55). Single factor analysis and binomial Logistic regression analysis were used to analyze the relationship between the factors and recurrent PE. Results: univariate analysis showed that the age of recurrent PE group and control group at the time of re-pregnancy, the pre-pregnancy mass index (BMIA), the onset and termination of gestational weeks, the interval between two pregnancies, and chronic hypertension were compared between the previous pregnancy group and the control group. The difference was statistically significant (P 0.05). The Logistic regression analysis showed that the age of second pregnancy (鈮,
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