贫血与患有黄炎的孕妇患者的结果之间的关联
Hannah M Cunningham1, Hope E Knochenhauer2, Jerome J Federspiel3
1Department of Obstetrics and Gynecology, Yale University, New Haven, Connecticut.
American journal of perinatology
|June 20, 2023
概括
孕妇患有炎症和贫血的孕妇面临严重的孕产妇发病率和延长住院的风险显著增加. 这凸显了在这些高风险怀孕中解决贫血的迫切需要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 在怀孕期间的传染病.
背景情况:
- 皮叶龙炎是怀孕期间常见的尿路感染.
- 贫血是怀孕人口中经常出现的并发症.
- 肌炎和贫血对母亲的结局的综合影响需要进一步研究.
研究的目的:
- 为了研究贫血与怀孕患者的不良孕产妇结局之间的关系,怀孕患者住院患有肺炎炎.
- 为了比较贫血和非贫血的孕妇患者的严重孕产妇死亡率.
主要方法:
- 使用全国再接收数据库 (NRD) 进行回顾性队列研究.
- 包括与产前炎相关的住院病例 (2015年10月至2018年12月).
- 利用国际疾病分类代码来识别疾病,并使用加权后勤和Poisson回归来进行分析.
主要成果:
- 在估计的55135例炎症患者中,有21.3%患有贫血.
- 贫血患者的严重孕产妇发病率明显高 (27.8%与8.9%,aRR 2.86).
- 在贫血患者中观察到急性呼吸窘迫综合征,败血症,休克和急性功能衰竭的风险增加,以及更长的住院时间.
结论:
- 孕妇患有炎症和同时患有贫血的孕妇患重症孕产妇发病风险大大增加.
- 贫血独立地与患败血症,急性呼吸困扰综合征,休克和急性功能衰竭的更高可能性有关.
- 这些发现强调了识别和管理孕妇患有炎黄炎的贫血的重要性,以减轻不良结果.
相关概念视频
Acute Pyelonephritis I: Introduction
25
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
25
Peritoneal Dialysis III: Nursing Management
55
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
55
Acute Pyelonephritis II: Diagnostic Studies and Management
19
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
19
Disorders of Erythrocytes
1.0K
Disorders of erythrocytes, or red blood cells (RBCs), include a range of conditions affecting their number, shape, or function.
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
1.0K
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
46
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
46
Chronic Kidney Disease II: Clinical Manifestations
42
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
42


