Halligan A, O'Brien E, O'Malley K, Darling M, Walshe J
Rotunda Hospital, Dublin, Ireland.
J Hypertens Suppl. 1991 Dec;9(8):S75-7.
Eclampsia and pre-eclampsia are the most important obstetric causes of maternal mortality in the Western world. The current definitions of hypertensive disorders in pregnancy rely on arbitrary blood pressure limits based on intermittent clinic readings which are subject to bias and error. Twenty-four-hour ambulatory blood pressure monitoring can overcome many of these deficiencies but has only recently been introduced into antenatal care. Five pregnancy studies using ambulatory blood pressure monitoring are currently underway in Birmingham, Glasgow, Grenoble, Oxford and Dublin. The results so far indicate that ambulatory blood pressure monitoring is an acceptable method of measuring blood pressure in pregnancy. It is also concluded that ambulatory blood pressure monitoring may have several roles in the future antenatal management of hypertension, including modification of existing classification systems, a clinical confirmatory role and a possible predictive role for pre-eclampsia.
子痫和先兆子痫是西方世界孕产妇死亡最重要的产科原因。目前孕期高血压疾病的定义依赖于基于门诊间歇性测量的任意血压限值，这些测量存在偏差和误差。24小时动态血压监测可以克服许多这些不足，但直到最近才被引入产前护理。目前在伯明翰、格拉斯哥、格勒诺布尔、牛津和都柏林正在进行五项使用动态血压监测的妊娠研究。迄今为止的结果表明，动态血压监测是孕期测量血压的一种可接受的方法。还得出结论，动态血压监测在未来高血压的产前管理中可能有几个作用，包括修改现有的分类系统、临床确认作用以及对子痫前期可能的预测作用。
