怀孕期间24小时门诊血压监测参数:试点研究
Mulubrhan F Mogos1, Soojung Ahn1, Chorong Park1
1Center for Research Development and Scholarship, School of Nursing, Vanderbilt University, Nashville, Tennessee, USA.
Journal of women's health (2002)
|April 16, 2024
概括
在孕妇中,24小时的门诊血压 (ABP) 监测是可行的. 早期高血压和可变性预测不良妊娠结果,表明其在产前护理中的价值.
科学领域:
- 怀孕期间心血管健康
- 孕产妇和胎儿的医学
- 怀孕期间的高血压疾病.
背景情况:
- 孕产妇血压 (BP) 对孕产妇和胎儿的健康至关重要.
- 怀孕期间的高血压疾病需要精确的血压监测.
- 临床的BP (CBP) 有局限性;24小时的门诊BP (ABP) 监测更可靠.
研究的目的:
- 评估孕妇24小时ABP监测的可行性和可接受性.
- 报告ABP参数,包括门诊血压变化 (ABPV).
- 探索早期ABP和不良妊娠结果 (APO) 之间的关系.
主要方法:
- 55名多胎孕妇的前性横截面研究.
- 涉及基线评估,CBP和24小时ABP和动图监测.
- 评估设备的可接受性和收集的产后妊娠结果.
主要成果:
- 在怀孕20周之前,对于有或没有先前的APO的妇女来说,24小时的ABP监测是可行的.
- 大多数参与者能够耐受ABP装置24小时,尽管有轻微的不便.
- 后来经历了APO的孕妇在怀孕早期显示出更高的24小时ABP和ABPV.
结论:
- 24小时ABP监测是产前护理中可行的和潜在的有价值的工具.
- 早期升高的ABP和ABPV可能表明APO的风险增加.
- 需要进一步的研究来确定ABP监测在怀孕管理中的作用.
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Direct Method
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