Levy M T, Jacober S J, Sowers J R
Georgetown Medical School, Washington, DC.
Arch Intern Med. 1994 Oct 10;154(19):2181-3.
The Navajos are the largest Native American tribe. They, like other Native Americans, appear to be in an "epidemiologic transition" and are accordingly experiencing increased rates of hypertension, diabetes, and obesity.
A retrospective chart review of all pregnancies in 1991 at the Crownpoint Indian Health Service Facility in Crownpoint, NM, was conducted to determine the prevalence of hypertensive disorders of pregnancy in this Navajo population.
Seventy-five (12.6%) of 594 pregnancies were associated with a hypertensive disorder. There were 18 individuals who developed gestational hypertension and 10 individuals with chronic hypertension that persisted during pregnancy. There were 46 women (7.7%) who developed preeclampsia and one woman (0.3%) who developed eclampsia. Eight women (1.4%) with chronic hypertension developed superimposed preeclampsia during pregnancy. Thus, 12.3% of these pregnancies in Navajo women were associated with the development of, or worsening, hypertension, and there was a prevalence of preeclampsia of 9.1%.
The Navajos exhibit a high prevalence of pregnancy-related hypertension and preeclampsia.
纳瓦霍人是美国最大的印第安部落。与其他美洲原住民一样，他们似乎正处于“流行病学转变”阶段，因此高血压、糖尿病和肥胖症的发病率不断上升。
对新墨西哥州克朗波因特印第安卫生服务机构1991年所有妊娠情况进行回顾性病历审查，以确定该纳瓦霍人群中妊娠高血压疾病的患病率。
594例妊娠中有75例（12.6%）与高血压疾病相关。有18人发生妊娠期高血压，10人患有慢性高血压且在孕期持续存在。有46名女性（7.7%）发生子痫前期，1名女性（0.3%）发生子痫。8名患有慢性高血压的女性（1.4%）在孕期并发子痫前期。因此，这些纳瓦霍女性妊娠中有12.3%与高血压的发生或加重相关，子痫前期患病率为9.1%。
纳瓦霍人妊娠相关高血压和子痫前期的患病率较高。
