视网膜微血管特征和妊娠高血压疾病的结果
Keerti Wali1, Subhashchandra R Mudanur2, Magna M Kuruvila1
1Ophthalmology, Shri B. M. Patil Medical College, Bijapur Lingayat District Education (BLDE), Vijayapura, IND.
Cureus
|September 17, 2024
概括
高血压视网膜病变的严重程度与妊娠高血压疾病 (HDP) 的严重程度相关. 基底镜检查可以表明HDP的胎儿风险,产后结果有所改善.
科学领域:
- 产科和妇科 产科和妇科
- 眼科医生 眼科 眼科
- 心脏病学 心脏病学
背景情况:
- 妊娠高血压疾病 (HDP) 涵盖从慢性高血压到赤血症的范围,对母亲和新生儿的健康构成风险.
- 基底镜检查揭示了微血管变化,可以作为系统性HDP参与的指标.
- 了解高血压视网膜病变和HDP严重程度之间的联系对于风险评估和管理至关重要.
研究的目的:
- 评估高血压视网膜病变与妊娠高血压疾病 (HDP) 的严重程度之间的相关性.
- 评估高血压视网膜病变与HDP中母亲和胎儿结局之间的关系.
- 确定后视镜检查结果是否可以预测HDP复杂的怀孕中不良结果.
主要方法:
- 在一家三级医院进行了一项研究,涉及2021年10月至2022年3月入院的HDP病例.
- 数据收集包括患者病史,血压,产科检查和后视镜.
- 对母亲和新生儿的结果进行了监测,直到第10个产后日.
主要成果:
- 在94名孕前/孕后患者中,56.3%的患者表现出高血压视网膜病变.
- 视网膜病变的严重程度与HDP的严重程度有显著的相关性 (p < 0.05).
- 过早分娩 (34%),新生儿死亡率 (8.5%) 和小于妊娠年龄 (SGA) (22.3%) 与增加的HDP严重程度有关.
结论:
- 高血压视网膜病变的发生率和严重程度随着HDP严重程度的增加而增加.
- 视网膜病变的严重程度可以作为HDP中胎儿发病率的标志物.
- 高血压视网膜病变通常通过血压控制在产后得到缓解.
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