怀孕期间的高血压疾病
Pensée Wu1,2,3, Marcus Green4, Jenny E Myers5
1School of Medicine, Keele University, Newcastle-under-Lyme, UK p.wu@keele.ac.uk.
BMJ (Clinical research ed.)
|June 30, 2023
概括
通过新的查和测试方法,可以更好地预防和诊断妊娠高血压障碍 (HDP). 产后护理对于在有HDP史的妇女中管理长期心血管风险至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 心血管健康 心血管健康
背景情况:
- 妊娠高血压障碍 (HDP),包括慢性高血压,妊娠高血压和先兆子,是常见的妊娠并发症.
- 在怀孕几十年后,HDP与未来心血管疾病和糖尿病风险增加有关.
- 早期识别和管理HDP对于孕产妇和长期健康至关重要.
研究的目的:
- 审查目前关于预防,诊断,管理和HDP产后随访的指导方针和研究.
- 突出早期查,诊断测试和HDP的管理策略方面的进展.
- 解决长期心血管风险和HDP后的初级预防方面的知识差距.
主要方法:
- 审查当前的指导方针和有关HDP的流行病学数据.
- 讨论早期怀孕查和诊断测试 (例如胎盘生长因子测试) 的新进展.
- 分析证据,完善血压目标和HDP管理的交付时间.
主要成果:
- 新的查和诊断工具 (例如,胎盘生长因子测试) 改善了对子宫前的高风险怀孕的识别.
- 证据提升了慢性高血压和不严重的先兆子的治疗方法.
- 流行病学数据证实了HDP与未来的心血管疾病和糖尿病之间存在强烈联系.
结论:
- 改善早期查和有针对性的预防 (例如,阿司匹林) 可以减少受影响的怀孕.
- 改进的诊断方法改善了对严重并发症高风险的怀孕的识别.
- 产后监测和对初级心血管预防的研究对于有HDP史的女性至关重要.
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