吉林省孕产妇妊娠期高血压疾病患病率及影响因素

目的  了解吉林省139 414例孕产妇妊娠期高血压疾病(hypertensive disorder complicating pregnancy, HDCP)患病率情况，分析其影响因素，为HDCP的预防和科学管理提供理论支持。方法  采用横断面调查方法，利用以医院为基础的监测系统，收集全省13家监测医院2017年1月1日—2019年12月31日上报的≥20周分娩孕产妇作为研究对象。应用多因素Logistic回归分析模型探讨孕产妇HDCP的影响因素。结果  本研究孕产妇患HDCP为6 400例，患病率为4.59%。其中患妊娠合并慢性高血压335例、妊娠期高血压1 959例、轻度子痫前期1 278例、重度子痫前期2 843例和子痫21例，患病率分别为0.24%、1.41%、0.92%、2.04%和0.02%。多因素非条件Logistic回归分析模型分析结果显示，年龄≥30岁、孕次≥2次、双胎/三胎的孕产妇与HDCP患病率升高有关；文化程度为高中/中专及以上、产次≥1次的孕产妇与HDCP患病率降低有关。结论  吉林省孕产妇HDCP患病率低于全国平均水平，其中重度子痫前期患病率最高，建议继续加强基层医疗卫生机构对HDCP的识别和管理。

Analysis on prevalence and influencing factors of hypertensive disorder complicating pregnancy among pregnant women in Jilin Province

  Objective  Understanding the prevalence of hypertensive disorder complicating pregnancy (HDCP) among 139 414 pregnant women in Jilin Province and analyzing its influencing factors, to provide theoretical supports for the prevention and scientific management of HDCP.  Methods  Using the cross-sectional survey method, the hospital-based monitoring system was applied to selected the pregnant women who have delivered at 20 or more weeks in 13 monitoring hospitals in Jilin Province from January 1, 2017 to December 31, 2019, as the research subjects. Multivariate unconditional Logistic regression analysis was used to explore the influencing factors of HDCP in pregnant women.  Results  In this study, 6 400 cases of HDCP were diagnosed in pregnant women, with a prevalence rate of 4.59%. Among them, the prevalence of pregnancy complicated with chronic hypertension (335 cases), gestational hypertension (1 959 cases), mild preeclampsia (1 278 cases), severe preeclampsia (2 843 cases) and eclampsia (21 cases) was 0.24%, 1.41%, 0.92%, 2.04% and 0.02%, respectively. Multivariate unconditional Logistic regression analysis showed that pregnant women who aged 30 years and older, have two or more pregnancies, have been pregnant with twins/triplets were related to the increased prevalence of HDCP. Pregnant women who have high school/technical secondary school education level or higher and one parity or more were related to the decreased prevalence of HDCP.  Conclusions  The prevalence of HDCP among pregnant women in Jilin Province is lower than the national average level, among which the prevalence of severe preeclampsia is the highest. It is suggested to continue to strengthen the identification and management of HDCP in primary health care institutions.