在怀孕期间诊断高血压疾病
Rebecca Horgan1, Yara Hage Diab1, Maged Costantine2
1Department of Obstetrics and Gynecology, Macon & Joan Brock Virginia Health Sciences, Old Dominion University, Norfolk, VA, United States.
American journal of obstetrics & gynecology MFM
|May 10, 2025
概括
在怀孕期间诊断高血压疾病是具有挑战性的,因为症状重叠和变化的人口统计学. 这次审查没有发现支持任意诊断时间框架的证据,强调对更好的孕产妇和胎儿结果进行准确的评估.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 怀孕中的心脏病学
背景情况:
- 妊娠的高血压疾病影响10-20%的怀孕,增加孕产妇和周产期发病率/死亡率.
- 与晚年母亲年龄,肥胖,ART和并发性疾病相关的发病率上升.
- 区分慢性高血压和与怀孕相关的高血压越来越困难.
研究的目的:
- 批判性地评估怀孕期间高血压疾病的推诊断时间段的证据.
- 评估持续血压升高的定义的清晰度.
主要方法:
- 系统审查现有关于妊娠高血压疾病诊断标准的文献.
- 分析支持诊断特定时间框架的证据.
主要成果:
- 没有证据支持任意的4小时时间或任何特定的时间框架来诊断妊娠中高血压疾病.
- 缺乏对持续性或持续性血压升高的明确定义.
结论:
- 在启动诸如连续检测或早产等干预措施之前,准确诊断新发高血压至关重要.
- 目前的诊断时间框架缺乏可靠的证据,需要重新评估.
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