怀孕期间24小时血压的预后值
G Bellomo1, P L Narducci, F Rondoni
1Division of Medicine, Assisi Hospital, Italy.
JAMA
|October 27, 1999
概括
怀孕中的白衣高血压 (WCH) 与正常压力怀孕的结果相似,但可能会增加剖腹产分娩率. 24小时血压监测比办公室血压测量更好地预测怀孕结果.
科学领域:
- 产科和妇科 产科和妇科
- 心血管医学 心血管医学
- 产周研究 产周研究
背景情况:
- 怀孕期间血压升高可能表明真正的高血压或白衣高血压 (WCH).
- 怀孕个体中WCH的预后影响以前是未知的.
研究的目的:
- 为了确定怀孕妇女白衣高血压的预后值.
- 为了比较患有WCH,真正高血压和正常血压的妇女之间的怀孕结果.
主要方法:
- 在社区医院进行了一项前性队列研究.
- 有高办公室血压 (BP) 的孕妇和匹配的正常血压组接受了24小时的门诊BP监测.
- 24小时血压正常,办公室血压升高的女性被归类为患有WCH.
主要成果:
- 白袍高血压在29.2%的女性中普遍存在,她们的办公室BP升高.
- 在正常血压和WCH组中,怀孕持续时间和孕前发病率相似,但在真正高血压组中显著更高.
- 新生儿出生体重和新生儿住院时间在正常血压和WCH组之间是可比的,但在真正高血压组中较低/较长.
结论:
- 24小时血压监测优于办公室血压,可以区分真正的高血压和WCH,并预测怀孕的结果.
- 患有WCH的妇女的怀孕结果与正常压力怀孕相似.
- 在WCH组中,剖腹产率的增加可能会受到办公室BP读数的影响.
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