1.Influencing factors of the pregnant women with preeclampsia in blood pressure, glucose and lipid metabolism to hypertension after delivery
Bing LI ; Gaihua WANG ; Tianfang FU
Clinical Medicine of China 2016;32(2):181-184
Objective To explore the influencing factors of the pregnant women with preeclampsia in blood pressure,glucose and lipid metabolism to hypertension after delivery.Methods One hundred patients of preeclampsias in Obstetrics and Gynecology Department of Maternal and Child Care Sservice Centre of Weinan from April 2012 to May 2014 were selected as the observation group.One hundred maternal-health at the same period were selected as the control group.All observed objects were followed up from May 2014 to May 2015.The general situation,sugar metabolism,lipid metabolism were recorded when in group and folllowed up.The general situation,sugar metabolism,lipid metabolism in prenatal were contrasted in two groups of prenatal and postpartum.Influence factors for hypertension of preeclampsia in pregnant women after childbirth were analyzed.Results Family history of hypertension,history of long-term use of contraceptives,prenatal body mass index(BMI),postpartum BMI,systolic prenatal,antenatal diastolic in the observation group were higher than that in the control group.The differences were statistically significant (P< 0.05).The fasting glucose (FPG),fasting insulin antenatal,prenatal insulin resistance index,total cholesterol(TC),triglycerides (TG),low-density lipoprotein cholesterol (LDL-C) of prenatal and postpartum in the observation group were (4.51 ±0.48) mmol/L and (5.21±1.08) mmol/L,(10.11±3.88) mU/L and (9.68±4.97) mU/L,(1.64±0.65) and (2.34±1.48),(6.21±0.98) mmol/L and (5.14±0.51) mmol/L,(3.51±1.35) mmol/L and (1.41 ±0.79) mmol/L,(3.31±0.97) mmol/L and (2.69±0.56) mmol/L,higher than that in the control group ((4.12±0.51) mmol/L and (4.76±0.97) mmol/L,(8.19±2.99) mU/L and (7.25±3.96) mU/L,(1.47 ±0.42) and (1.79±0.79),(5.91± 1.01) mmol/L and (4.99±0.39) mmol/L,(2.96±0.87) mmol/L and (0.86±0.78) mmol/L,(3.01 ± 1.01) mmol/L and (2.46±0.47) mmol/L),the differences were statistically significant(t=5.238,3.690,2.069,2.005,3.225,2.015,2.917,3.600,3.089,2.200,4.661,2.961;P<0.05).Prenatal and postpartum BMI (OR =1.356,95% CI 1.012-2.102;OR =1.378,95% CI 1.034-2.609),fasting blood glucose level of prenatal(OR=1.753,95%CI 2.307-59.257) and postnatal fasting insulin levels(OR =1.351,95% CI 1.810-112.267),the difference of systolic pressure of prenatal and postnatal(OR=1.247,95%CI 1.208-108.323),the difference between prenatal and postnatal triglycerides (OR =1.119,95% CI 4.540-77.559),the difference of insulin resistance index (OR =1.529,95% CI 1.828-92.844) and the difference between high-density lipoprotein cholesterol hypertension (OR =2.547,95%CI 1.763-110.693) were the risk factors that can cause preeclampsia occurs hypertension after childbirth (P <0.05).Conclusion Preeclampsia with high blood pressure,abnormal glucose metabolism and lipid metabolism are the risk factors that can cause preeclampsia occurs hypertension after childbirth.
2.Distribution characteristics of traditional Chinese medicine syndromes and their elements in people with subhealth fatigue.
Tianfang WANG ; Jiajia WANG ; Xiaolin XUE ; Ping HAN ; Yajing ZHANG ; Guanru LI ; Xiuyan WU ; Yan ZHAO ; Lilong TANG ; Yuyue LIU ; Conglu SUI ; Chen FU ; Yongmei SHANG ; Bo ZHOU
Journal of Integrative Medicine 2010;8(3):220-3
To investigate the characteristics of traditional Chinese medicine (TCM) syndromes and their elements in people with subhealth fatigue.