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| Study on the Relationship between Adverse Pregnancy History and Hypertension in PerimeNopausal Women |
| ZHANG Jing, WANG Zhihong, QU Donghui, et al |
| Affiliated Hospital of Chengde Medical University, Hebei Chengde 067000, China |
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Abstract Objective: To analyze the relationship between adverse pregnancy and perinatal hypertension, and to provide theoretical basis for the early prevention of cardiovascular disease. Method: 256 female patients aged 40-60 with hypertension who visited to Affiliated Hospital Of Chengde Medical University from August 2018 to August 2019 were selected as the case group, and 314 women aged 40-60 with no hypertension were selected as the control group. Using case-control method, questionnaire survey was carried out, and single factor and multi factor unconditional logistic regression analysis was carried out. Results: Body mass index (or =3.465, 95% CI: 2.175-5.526), gestational hypertension (or = 3.629, 95% CI: 1.080-12.140), premature birth (or = 2.468, 95% CI: 1.073-5.674), age of first delivery (or = 0.468, 95% CI: 0.233-0.938). Conclusions: After adjusting the confounding factors, the population with body mass index ≥ 28KG / m2, preterm delivery and pregnancy induced hypertension were all independent risk factors of perimenopausal hypertension. The women with the first delivery age between 20-35 years old were the protective factors of perimenopausal hypertension. Therefore, it is necessary to strengthen the management of risk factors of perimenopausal hypertension, improve the understanding of hypertension protective factors, and reduce the incidence of hypertension.
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2020, Vol. 26 
