Abstract：Objective To investigate the prevalence of postpartum hypertension and its risk factors in women with a history of preeclampsia (PE). Methods A total of 860 PE women who delivered babies in Obstetrical Department of Hangzhou First People's Hospital from January 2012 to December 2016 were randomly selected as the research subjects. A prospective study was used to collect their prenatal general information, physical examination and laboratory detection data, and a follow-up was conducted to assess the prevalence of postpartum hypertension. Univariate and multivariate non-conditional logistic regression analyses were used to identify the risk factors of postpartum hypertension in the PE women. Results The prevalence rate of postpartum hypertension in the PE women was 25.36%. Single factor analysis showed that family history of hypertension, high systolic blood pressure, high diastolic blood pressure, high fasting plasma glucose (FPG), high triglyceride (TG) and high total cholesterol (TC) during the prenatal period were the risk factors of postpartum hypertension in the PE women (P<0.05). Age, history of smoking or passive smoking, drinking history, history of taking oral short-acting contraceptives, pre-pregnancy body mass index (BMI), prenatal high density lipoprotein cholesterol (HDL-C) and prenatal low density lipoprotein cholesterol (LDL-C) were not the risk factors of postpartum hypertension in the PE women (P>0.05). Multivariate analysis showed that high systolic blood pressure (OR=3.827), high diastolic blood pressure (OR=3.353), high FPG (OR=3.136) and high TG (OR=2.809) during the prenatal period were the risk factors for postpartum hypertension in the PE women. Conclusions The prevalence rate of postpartum hypertension in the PE women is relatively high, reaching 25.36%. Elevated systolicand diastolic blood pressure, high FPG and high TG during the prenatal period are all the risk factors for postpartum hypertension in the PE women.
刘蓉, 林晓峰, 魏璞, 夏建妹, 张薇. 子痫前期产妇产后高血压的发病情况及其危险因素分析[J]. 实用预防医学, 2018, 25(8): 954-957.
LIU Rong, LIN Xiao-feng, WEI Pu, XIA Jian-mei, ZHANG Wei. Prevalence and risk factors of postpartum hypertension in women with a history of preeclampsia. , 2018, 25(8): 954-957.
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2018, Vol. 25 
