孕早期妊娠呕吐相关危险因素回顾性队列研究

目的 调查分析武汉市孕早期妊娠剧烈呕吐的相关危险因素，指导孕期妇女的预防保健工作。方法 采用回顾性队列研究的方法，选择孕早期来院产检的孕妇，了解其早孕反应的情况，采用logistic回归分析对资料进行分析。结果 武汉市孕早期妊娠剧烈呕吐的相关危险因素有：孕周、噪音、睡眠不好、新近装修、咖啡和孕后食量减少，而孕后口味嗜酸辣、少吃蔬菜、TORCH至少有一项IGM阳性是HG的保护因素，并且孕前体重越大则HG的发生越少。结论 应重视孕早期剧烈呕吐问题，减少噪音等不良因素的暴露，创造良好妊娠条件，注意均衡饮食，保证睡眠，不提倡瘦身怀孕．以尽量减少HG的发生。

The Retrospective Cohort Study of Risk Factors for Hyperemesis Gravidarum in the First Trimester

Objective To investigate the risk factors for hyperemesis gravidarum in the first trimester, provide evidence to strengthen the health care of pregnant women.Methods Through retrospective cohort study, 1012 pregnant women in the first trimester were investigated by multiple logistic regression when they received pregnancy health care service. Results There were 10 significant factors affecting HG. Noise, sleeping disorder, newly decorated housing, coffee, decrease of food intake would increase the risk for HG. The pregnant week was also related to HG. Taste of spicy, less vegetable eating, showed decreasing risk for HG. Conclusion HG is a severe problem in the first trimester. The study identified a number of factors that related to the occurrence of HG. Maternal health care should care about these factors and decrease the occurrence of HG.