Young P, Johanson R
North Staffordshire Maternity Unit, Newcastle Road, Stoke on Trent, Staffs, ST4 6QG, UK.
Best Pract Res Clin Obstet Gynaecol. 2001 Aug;15(4):605-22. doi: 10.1053/beog.2001.0203.
To determine the clinical usefulness of invasive and non-invasive haemodynamic assessment in pre-eclampsia.
A systematic review of the literature was undertaken, using a MEDLINE electronic search using a combination of MESH headings and textwords. Over 1500 abstracts were perused; we obtained 156 full papers that were related to the subject matter. Of the full papers, 55 yielded relevant information. Hand-searching the reference lists of the retrieved papers completed the search.
There are no data from randomized controlled clinical trials illustrating the clinical usefulness of pulmonary artery catheters or echocardiographic techniques in hypertensive pregnancy. There are a wealth of data illustrating the haemodynamic profiles of both untreated and treated pre-eclamptic women. Data are also available comparing right heart and left heart filling pressures, demonstrating a relatively poor correlation between the two values. The clinical impact of either measurement is unclear. Data are available illustrating the correlation between echocardiographic techniques and pulmonary artery catheterization.
确定侵入性和非侵入性血流动力学评估在子痫前期中的临床应用价值。
采用医学主题词（MESH）和文本词相结合的方式，通过MEDLINE电子检索对文献进行系统综述。研读了1500多篇摘要；我们获得了156篇与该主题相关的全文。在这些全文中，55篇提供了相关信息。通过手工检索所检索论文的参考文献列表完成了检索。
尚无随机对照临床试验的数据说明肺动脉导管或超声心动图技术在高血压妊娠中的临床应用价值。有大量数据说明了未治疗和已治疗的子痫前期女性的血流动力学特征。也有数据比较了右心和左心充盈压，表明这两个值之间的相关性相对较差。两种测量方法的临床影响尚不清楚。有数据说明了超声心动图技术与肺动脉导管插入术之间的相关性。
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