在分娩和产后心血管疾病时的高血压障碍:一项回顾性队列研究
Mariam Ayyash1, Timothy Wen2,3, Stephanie Purisch1
1Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York City, New York, USA.
BJOG : an international journal of obstetrics and gynaecology
|October 22, 2025
概括
在分娩期间的高血压障碍显著增加了产后心血管严重孕产妇发病率 (SMM) 再入院的风险. 诸如叠加性孕前等特定诊断构成最高风险,突出了针对性产后护理的需要.
科学领域:
- 产科和妇科 产科和妇科
- 心血管健康 心血管健康
- 公共卫生 公共卫生
背景情况:
- 高血压疾病在怀孕和分娩期间很常见.
- 严重孕产妇发病率 (SMM) 的产后再接收是一个重大问题.
- 产后高血压诊断与心血管性SMM再入院之间的关联需要进一步调查.
研究的目的:
- 分析出产时高血压诊断和随后的心血管SMM的产后再入院之间的关联.
- 评估特定高血压诊断对产后心血管SMM再入院风险的影响.
主要方法:
- 使用2016-2022年全国再录取数据库进行的回顾性队列研究.
- 对分娩住院病人的分析,随后为心血管性SMM进行6个月的产后再入院.
- 使用多变量逻辑回归模型来估计调整的赔率比率 (aOR).
主要成果:
- 在120万例分娩住院病例中,15.4%的诊断为高血压.
- 在分娩时诊断高血压与6个月产后心血管SMM再入院的几率增加有关 (aOR 2.8).
- 个人诊断,如叠加性妊娠前 (aOR 4.3) 和慢性高血压 (aOR 3.2) 显示了显著的关联.
结论:
- 产后高血压障碍是产后心血管SMM再入院的重要风险因素.
- 特定的高血压诊断赋予了不同程度的风险,可能导致不良的心脏和产科结果.
- 识别患有高血压疾病的患者对于改善产后护理质量和患者风险分层至关重要.
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