【摘 要】 目的：探讨妊娠期高血压患者产后血压恢复的影响因素。方法：选择2017年1月至2017年12月在本院生产的产妇600例为研究对象。记录随访42天产妇血压恢复正常与未恢复正常的例数。比较两组产次、吸烟史、孕期是否补充叶酸、高血压家族史、既往流产史、妊娠期高血压疾病程度，孕期体质量增加，年龄，初诊时BMI。多因素分析影响产后血压变化的危险因素。结果：单因素分析结果显示，孕期未补充叶酸、妊娠期高血压疾病严重、年龄大、产检次数少、初诊BMI≥25kg/m2，单纯SBP升高或者单纯DBP升高产妇产后血压未恢复率较高（P<0.05）。多因素结果显示，年龄、妊娠期高血压程度，高血压类型是影响产后血压恢复的独立危险因素（P<0.05）。结论：妊娠期高血压产妇有部分产妇产后血压未能恢复正常，产妇年龄、妊娠期高血压病情、高血压类型是影响产妇产后血压变化的相关因素。

【关键词】 妊娠期高血压;产后;血压;影响因素

[Abstract] Objective：To discuss the influencing factors of postpartum blood pressure recovery in patients with hypertensive disorder complicating pregnancy. Methods： A total of 600 pregnant women in our hospital from January to December 2017 were selected. The maternal blood pressure returned to normal and no normal cases were followed up for 42 days. The history of smoking， the supplement of folic acid， family history of hypertension， the history of abortion， the degree of hypertension in pregnancy， the increase of weight in pregnancy， age and BMI at first diagnosis were compared between two groups were compared. Multivariate analysis was used to analyze risk factors for postpartum blood pressure changes.Results：The results of single factor analysis showed that： non-recovery rates of postpartum blood pressure in parturients with no supplementation of folic acid in pregnancy， severe pregnancy induced hypertension， age， less frequency of examination， first visit of BMI≥25kg/m2， simple SBP increase or simple DBP were higher （P<0.05）. The results of multiple factors showed that：age， degree of gestational hypertension， and type of hypertension were independent risk factors for postpartum blood pressure recovery （P<0.05）.Conclusion： Some of the mothers of hypertensive disorder complicating pregnancy fails to return to normal blood pressure. Maternal age， hypertensive disorder complicating pregnancy and type of hypertension are related factors that affect postpartum blood pressure.

[Key words]Hypertensive disorder complicating pregnancy; Postpartum; Blood pressure; Influencing factors

妊娠期高血壓是妊娠期特有的疾病，指妊娠20周以后出现的高血压、蛋白尿及水肿，严重时抽搐、昏迷，甚至母婴死亡的一组临床综合征。妊娠期高血压是孕产妇死亡的主要原因之一。妊娠期高血压是一种全身性、进行性、多样性、预后难料、累及多脏器的疾病[1]。妊娠期高血压的发病机制还不明确。妊娠期高血压患者在妊娠结束后大多血压能够恢复至正常水平，但也有部分患者发展为永久性高血压。本文探讨妊娠期高血压患者产后血压变化及影响因素。现将结果报道如下。

1 资料与方法

1.1 一般资料

选择2017年1月至2017年12月在本院生产的产妇600例为研究对象。纳入标准：符合妊娠期高血压诊断标准[2]，在

作者简介：刘秀平（1973-），女，本科，副主任医师。研究方向：产科临床

本院进行定期孕期保健，并在本院生产，单胎，孕期顺利，产后随访42天，随访资料完整。……