Analysis Of High Risk Factors Of Hypersitensive Disorder Complicating Pregnancy And Clinical Significance Of ACR

Objective:To explore the risk factors of hypertensive disorder in pregnancy and the clinical significance of ACR for hypertensive disorders in pregnancy.Method:A retrospective analysis was made on 12688 pregnant women who underwent labor examination with complete data during the period from January 2013 to June 2018.The risk factors of hypertensive disease during pregnancy were analyzed,and the predictors of the development of hypertension during pregnancy were analyzed.Result:After the implementation of the two-child policy,the incidence of hypertension during pregnancy was significantly increased(p<0.05).One-way analysis of variance showed that older women aged ?40 years at delivery,first pregnancy,multiple pregnancy,obesity(BMI?35kg/m2),malnutrition(BMI?18.5kg/m2),interval?10 years from last pregnancy,eclampsia Pre-history,chronic nephritis history,diabetes history and other factors were risk factors for the development of hypertensive disorder complicating pregnancy(p<0.05).Two Logistic regression analysis showed that diabetes history was no longer a high risk factor for hypertension during pregnancy(p>0.05).Binomial logistic regression analysis showed that the earlier the gestational age and the higher the ACR value,the higher the risk of pre-eclampsia(p<0.05).Conclusion:Older women with?40 years of age at delivery,first pregnancy,multiple pregnancy,obesity(BMI?35kg/m2),malnutrition(BMI?18.5kg/m2),interval?10 years from last pregnancy,history of preeclampsia,Factors such as the history of chronic nephritis are high risk factors for the onset of hypertensive disorders in pregnancy.The higher the ACR value at the time of diagnosis of hypertension in pregnancy,the earlier the diagnosis of gestational age is the high risk factor for the final development of preeclampsia.