产科危险年龄妊娠高血压疾病的患病率及相关因素2019年,昆卡Vicente Corral Moscoso医院

Thalía Alejandra Álvarez Peralta, Jeanneth Tapia Cardenas, Zoila Katherine Salazar Torres
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摘要

妊娠期高血压疾病是全世界孕产妇和新生儿发病率和死亡率的主要原因之一。目的:了解2019年Vicente Corral Moscoso医院高危年龄段妊娠高血压疾病的患病率及相关因素。材料与方法:采用横断面分析研究。采用简单随机抽样的方法,从“内联网”系统中抽取249份住院病历。数据分析使用SPSS v.22。采用比值比进行因子关联,置信区间为95%;假设被接受,卡方的值p < 0.05。结果:17.7%的患者存在高危育龄期高血压疾病,其中12.4%的患者存在先兆子痫。与高血压疾病有统计学意义相关的因素有:超重肥胖(OR 2,1;95% CI: 1,04-4,23, p: 0,03);慢性高血压(OR: 20.4;95% ci: 2,22-187,33;p > 0.001)和既往妊娠高血压病史(OR: 4,2;95% ci: 1,23 -14,82;P = 0.001)。结论:超过1 / 8的产科高危年龄患者在妊娠期出现高血压疾病;子痫前期是最常见的。超重和肥胖、妊娠前高血压病史和慢性高血压是有统计学意义的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and associated factors with hypertensive disorders of pregnancy in obstetric risk ages. Vicente Corral Moscoso Hospital, Cuenca 2019
Introduction: hypertensive disorders of pregnancy are one of the main causes of maternal and neonatal morbidity and mortality worldwide. Objective: to determine the prevalence and associated factors to hypertensive disorders in pregnancy at risk ages, at Vicente Corral Moscoso Hospital in 2019. Materials and methods: a cross-sectional analytical study was carried out. 249 medical records from “Intranet” system for hospitalization, selected by simple random sampling, were included. For data analysis, SPSS v.22 was used. The factor`s association was made with odds ratio with its confidence interval of 95 %; the hypothesis was accepted with a value of p < 0,05 of the Chi square. Results: 17,7 % patients presented hypertensive disorders at risk reproductive age, of which 12,4 % had preeclampsia. The factors that showed a statistically significant relationship with hypertensive disorders were overweight-obesity (OR 2,1; 95% CI: 1,04-4,23, p: 0,03); chronic hypertension (OR: 20,4; 95% CI: 2,22-187,33; p > 0,001) and a history of hypertensive disorder in previous pregnancies (OR: 4,2; 95% CI: 1,23 -14,82; p = 0,001). Conclusion: more than one eighth of patients with obstetric risk ages presented hypertensive disorders in pregnancy; preeclampsia was the most frequent. Overweight and obesity, history of hypertensive disorder prior to pregnancy and chronic hypertension were statistically significant factors.
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