与怀孕相关的中风和与时间和高血压疾病相关的结果
Ghamar Bitar1, Baha M Sibai, Han-Yang Chen
1Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas; and the Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Israel.
Obstetrics and gynecology
|July 6, 2023
概括
在怀孕期间产后中风的发生率正在增加,通常与高血压疾病有关. 虽然产后中风和高血压中风增加了不良结果,但死亡风险在不同类型的中风中仍然相似.
科学领域:
- 产科和妇科 产科和妇科
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 怀孕相关的中风是一种严重的并发症.
- 了解时间趋势和风险因素对于孕产妇健康至关重要.
- 高血压疾病在怀孕期间很常见,可能会影响中风风险.
研究的目的:
- 为了估计周周中风的时间趋势.
- 评估中风时间,高血压和母亲不良结果之间的关系.
主要方法:
- 使用国家住院患者样本 (2016-2019) 进行回顾性,横截面研究.
- 确定的住院治疗与妊娠相关的中风.
- 分析了中风时间 (产前与产后) 和高血压疾病的趋势.
- 使用多变量Poisson回归来评估与不良结果的关联.
主要成果:
- 怀孕相关的中风率从每10万次住院治疗中增加了37.5至40.8 (2016-2019).
- 产后中风率和中风与高血压障碍显著增加.
- 产后中风和带有高血压疾病的中风与增加的孕产妇发病率 (例如机械呼吸,肺炎,发作,长时间停留) 相关,但与死亡率无关.
结论:
- 在美国观察到产后中风的上升趋势.
- 近一半的与怀孕相关的中风发生在高血压疾病中.
- 不良结果,不包括死亡率,在产后中风和与高血压相关的中风中升高.
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