怀孕和产后期中风:韩国全国人口研究
Darda Chung1, Byung-Ryong Ahn2, Cheryl D Bushnell3
1Department of Neurology, Korea University Anam Hospital, Seoul, South Korea.
概括
在韩国,与怀孕相关的中风 (PAS) 发病率正在上升,特别是在年长的母亲中. 先进的孕产妇年龄,高血压和孕产前是关键的危险因素,需要提高对高风险怀孕的认识和主动管理.
科学领域:
- 神经学 神经学
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
背景情况:
- 妊娠相关性中风 (PAS) 是一种罕见但关键的产科并发症.
- 在韩国,全国范围内关于PAS的数据有限,这是一个越来越晚的孕产妇年龄的国家.
- 了解PAS趋势和风险因素对于母亲健康至关重要.
研究的目的:
- 研究韩国PAS的发病率和时间趋势.
- 确定与PAS相关的独立风险因素.
- 为 PAS 提供临床意识和管理策略的信息.
主要方法:
- 对2014-2021年全国韩国国民健康保险服务 (NHIS) 数据的回顾性分析.
- 包括在研究期间分娩的15-49岁妇女.
- 将PAS定义为怀孕期间或产后6周中风;用于风险因素识别的多变量逻辑回归.
主要成果:
- 在2000,110次分娩中发现了909例PAS病例;总体发病率为45.6/100,000次分娩.
- 从2014年到2021年,PAS发病率增加,主要原因是缺血性中风.
- 独立预测因素包括先进的孕产妇年龄,高血压,偏头痛,妊娠高血压,子宫前/子宫和周边心肌病.
结论:
- 在韩国,PAS的发病率正在增加.
- 晚期母亲年龄,血管风险因素和妊娠并发症是PAS的重要预测因素.
- 提高临床意识和高风险妇女的积极管理对于减轻PAS至关重要.
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