孕期孕妇腹内压力和高血压之间的关联
Sajith Jayasundara1, Malik Goonewardene1,2, Lanka Dassanayake1,2
1Academic Obstetric Unit, Teaching Hospital, Galle, Sri Lanka.
PloS one
|October 18, 2023
概括
在孕妇中,腹内压力 (IAP) 升高,可能与妊娠高血压 (HIP) 有关. 产后IAP在HIP妇女中仍然较高,表明恢复到正常水平的速度较慢.
科学领域:
- 产科和妇科 产科和妇科
- 临界护理医学 临界护理医学
- 周围生理学 周围生理学
背景情况:
- 怀孕在生理上增加了腹内压力 (IAP) 由于胎儿的生长和相关的液体/组织扩张.
- 升高的IAP可以导致腹腔内高血压 (IAH) 和腹腔综合征,临床上与妊娠前相似.
- 腹内压力 (IAP) 可能与妊娠高血压 (HIP) 有关.
研究的目的:
- 在接受剖腹产分娩 (CD) 的妇女中确定产前和产后IAP水平.
- 为了研究妊娠高血压 (HIP) 和产前/产后IAP水平在接受CD的妇女之间的关联.
主要方法:
- 70名孕妇 (55名正常血压,15名高血压) 接受非紧急CD,在分娩前后测量了腹腔内血压.
- 卧卧的静脉压力被用作IAP的替代品.
- 多变量线性回归模型分析了IAP与正常血压和高血压妊娠的基线特征之间的关联.
主要成果:
- 在正常紧张的妊娠中,产前IAP的平均值为12.7 mmHg,产后IAP为7.3 mmHg.
- 与正常压力组相比,HIP组显示出与产前IAP (系数1.617,p=0.268) 和产后IAP (系数2.519,p=0.018) 的积极关联.
- 从产前到产后IAP的减少与HIP负相关 (系数-1.013,p=0.179).
结论:
- 在满期怀孕中产前和产后IAP可能处于IAH范围之内.
- 妊娠高血压 (HIP) 与产前和产后腹内压力 (IAP) 的增加有关.
- 产后IAP的下降在怀孕高血压 (HIP) 的妇女中较少明显.
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