新疆不同民族妊娠期高血压疾病患者1162例临床分析

武建利; 张丽姿; 李玲; 单婷; 王晓燕; 卢瑛; 许君君; 沈霞; 佐合热古丽·赛麦提; 石纪红; 朱启英; 杜丽丽

doi:10.3877/cma.j.issn.2095-3259.2022.03.007

中华产科急救电子杂志 >

2022 , Vol. 11 >Issue 03: 152 - 157

DOI: https://doi.org/10.3877/cma.j.issn.2095-3259.2022.03.007

论著

新疆不同民族妊娠期高血压疾病患者1162例临床分析

武建利 ¹ ,
张丽姿 ² ,
李玲 ¹ ,
单婷 ³ ,
王晓燕 ⁴ ,
卢瑛 ⁵ ,
许君君 ⁶ ,
沈霞 ⁷ ,
佐合热古丽·赛麦提 ⁸ ,
石纪红 ⁹ ,
朱启英 ^,¹^,^† ,
杜丽丽 ^,¹⁰^,^†

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^1.新疆医科大学第一附属医院产科，乌鲁木齐　830054
^2.南方医科大学南方医院妇产科，广州　510515
^3.克拉玛依市中心医院产科，834000
^4.阿勒泰地区人民医院产科，836500
^5.呼图壁县人民医院产科，831200
^6.博尔塔拉蒙古自治州人民医院产科，833400
^7.新疆生产建设兵团第二师库尔勒医院产科，841001
^8.新疆医科大学第一附属医院昌吉分院产科，831100
^9.焉耆县妇幼保健计划生育服务中心孕产保健部，841100
^10.广州医科大学附属第三医院妇产科，广东省产科重大疾病重点实验室，广州重症孕产妇救治中心，510150

通信作者：朱启英，Email：zhuqiyingxq@sina.com;

杜丽丽，Email：lilidugysy@gzhmu.edu.cn

Copy editor: 周泽纯 , 郎素慧

收稿日期: 2021-11-20

网络出版日期: 2022-10-10

基金资助

新疆维吾尔自治区自然科学基金(2020D01C244)

版权

未经授权，不得转载、摘编本刊文章，不得使用本刊的版式设计，除非特别声明，本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。本刊为电子期刊，以网刊形式出版。

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Clinical analysis of 1162 cases of hypertensive disorders of pregnancy in Xinjiang

Jianli Wu ¹ ,
Lizi Zhang ² ,
Ling Li ¹ ,
Ting Shan ³ ,
Xiaoyan Wang ⁴ ,
Ying Lu ⁵ ,
Junjun Xu ⁶ ,
Xia Shen ⁷ ,
Saimaiti Zuohereguli· ⁸ ,
Jihong Shi ⁹ ,
Qiying Zhu ^,¹^,^† ,
Lili Du ^,¹⁰^,^†

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^1.Department of Obstetrics, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
^2.Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
^3.Department of Obstetrics, Karamay Central Hospital, Karamay 834000, China
^4.Department of Obstetrics, Altay Regional People′s Hospital, Altay 836500, China
^5.Department of Obstetrics, Hutubi County People′s Hospital, Changji 8312000, China
^6.Department of Obstetrics, Boltala Mongolian Autonomous Prefecture People′s Hospital, Bole 833400, China
^7.Department of Obstetrics, Second Division Hospital of Xinjiang Production and Construction Corps, Korla 841001, China
^8.Department of Obstetrics, Changji Branch, The First Affiliated Hospital of Xinjiang Medical University, Changji 831100, China
^9.Ministry of Maternal Health, Yanji County Maternal and Child Health Care Family Planning Service Center, Korla 841100, China
^10.Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Guangzhou Medical University, Key Laboratory for Major Obstetric Diseases of Guangdong Province, Guangzhou Medical Center for Critical Pregnant Women, Guangzhou 510150, China

Corresponding author: Zhu Qiying, Email: zhuqiyingxq@sina.com;

Du Lili, Email: lilidugysy@gzhmu.edu.cn

Received date: 2021-11-20

Online published: 2022-10-10

Copyright

No content published by the journals of Chinese Medical Association may be reproduced or abridged without authorization. Please do not use or copy the layout and design of the journals without permission.

All articles published represent the opinions of the authors, and do not reflect the official policy of the Chinese Medical Association or the Editorial Board, unless this is clearly specified.

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摘要

目的

了解新疆不同民族间妊娠期高血压疾病的临床特点。

方法

收集2018年1月至12月新疆维吾尔自治区8家医院诊断为妊娠期高血压疾病且终止妊娠的1162例患者临床资料，采用回顾性研究方法，根据患者民族分为汉族妊娠期高血压疾病组637例，哈萨克族201例，其他少数民族324例。分析不同民族间妊娠期高血压疾病发病率及临床特点。

结果

汉族妊娠期高血压疾病发病率为5.38%，哈萨克族16.89%，其他少数民族9.91%；哈萨克族妊娠期高血压疾病患者与汉族及其他少数民族在转诊比例(33.3%、17.1%、17.9%, χ²＝26.397)、妊娠34周之前发病比例(47.3%、34.7%、37.0%, χ²＝10.343)、随机尿蛋白(+++)的比例(31.8%、20.3%、21.9%, χ²＝31.634)、子痫前期及子痫患者比例(74.6%、55.3%、60.5%, χ²＝24.064)、剖宫产分娩比例(86.1%、78.0%、77.5%, χ²＝6.896)、最高收缩压[(158.78±17.33)mmHg、(152.18±16.20)mmHg、(153.13±18.87)mmHg，t＝11.434)]、最高舒张压[(101.11±12.37)mmHg、(97.91±12.18)mmHg、(98.62±12.74)mmHg，t＝5.142]、终止妊娠孕周[(34.82±4.07)周、(36.44±3.26)周、(35.86±4.12)周，t＝15.335]等方面比较，差异均有统计学意义(P<0.05)。

结论

妊娠期高血压疾病在新疆不同民族间发病率及临床表现存在差异。

关键词： 高血压，妊娠性; 发病率; 人种群

本文引用格式

武建利 , 张丽姿 , 李玲 , 单婷 , 王晓燕 , 卢瑛 , 许君君 , 沈霞 , 佐合热古丽·赛麦提 , 石纪红 , 朱启英 , 杜丽丽 . 新疆不同民族妊娠期高血压疾病患者1162例临床分析[J]. 中华产科急救电子杂志, 2022 , 11(03) : 152 -157 . DOI: 10.3877/cma.j.issn.2095-3259.2022.03.007

Abstract

Objective

To analyze the clinical characteristics of hypertensive disorders of pregnancy among different nationalities in XinJiang.

Methods

A total of 1162 patients who were diagnosed with hypertensive disorders during pregnancy and delivered were recruited from 8 hospitals in Xinjiang province between January and December 2018. A retrospective analysis was applied to identify the incidence and clinical characteristics of hypertensive disorders of pregnancy among different nationalities. There were 637 Han patients with hypertensive disorders of pregnancy, 201 kazakh patients, 324 other ethnic minorities patients.

Results

The incidence rate of hypertensive disorders during pregnancy was 5.38% for Han nationality, 16.89% for Kazakh nationality, and 9.91% for other ethnic minorities respectively. Clinical manifestations of Kazakh patients with hypertensive disorders of pregnancy, including referral ratio (33.3%、17.1%、17.9%、χ²=26.397), incidence ratio before 34 weeks of gestation (47.3%、34.7%、37.0%, χ²=10.343), random urine protein (+ + + ) ratio (31.8%、20.3%、21.9%, χ²=31.634), the ratio of patients diagnosed with preeclampsia and eclampsia (74.6%、55.3%、60.5%, χ²=24.064), cesarean section terminated pregnancy rate (86.1%、78.0%、77.5%, χ²=6.896), systolic blood pressure [(158.78±17.33) mmHg、(152.18±16.20) mmHg、(153.13±18.87) mmHg, t=11.434], and diastolic blood pressure [(101.11±12.37) mmHg、(97.91±12.18) mmHg、(98.62±12.74) mmHg, t=5.142], terminated gestational age [(34.82±4.07) weeks、(36.44±3.26) weeks、(35.86±4.12) weeks, t=15.335] were more serious than those of Han and other ethnic minorities, and the differences were statistically significant(P<0.05).

Conclusions

There are differences in the incidence and clinical manifestations of hypertensive disorders during pregnancy among different nationalities in Xinjiang.

Key words： Hypertension, pregnancy-induced; Incidence; Ethnic groups

参考文献

原文顺序 | 文献年度倒序 | 文中引用次数倒序

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