持续或间歇性血压监测在产后孕前中具有严重特征
Helen Woolcock Martinez1, Noora Haghighi1, Anne-Sophie van Wingerden1
1Division of Stroke and Cerebrovascular Disease, Department of Neurology, Columbia University, New York, New York.
American journal of perinatology
|November 1, 2024
概括
连续24小时血压 (BP) 监测是产后患有严重孕前的患者可行的方法. 与间歇性监测相比,这种方法可以检测到更多持续严重血压的病例.
科学领域:
- 产科和妇科 产科和妇科
- 心血管医学 心血管医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 有严重特征的孕前需要仔细的产后监测.
- 传统的间歇性血压 (BP) 测量可能低估了产后高血压的严重程度.
研究的目的:
- 试点在产后患有孕前的患者中持续24小时的血压监测.
- 在这个人群中,将连续血压监测与间歇性血压测量进行比较.
主要方法:
- 连续的血压被测量长达24小时使用手指囊造影.
- 同时使用振荡计装置 (间歇性血压) 测量手臂血压.
- 配对t测试和麦克纳马斯测试用于统计比较.
主要成果:
- 与间歇监测相比,连续监测发现的持续严重缩血压 (≥160 mm Hg) 患者显著增加 (44%与8%相比).
- 间歇地记录的平均透析血压明显高于连续记录的DBP.
- 持续监测显示,在37%的严重缩血压患者中,持续严重的透气血压 (≥110毫米升),这种发现在间歇监测中无法检测到.
结论:
- 持续24小时血压监测是产后患有孕前的患者可行的和可靠的方法.
- 持续的血压监测在检测持续严重的血压范围方面是优越的.
- 这种方法提供了对产后高血压的更全面的评估.
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