发展中国家子痫前期的公共卫生视角：对卫生系统强化的启示
Public health perspectives of preeclampsia in developing countries: implication for health system strengthening.
作者信息
Osungbade Kayode O, Ige Olusimbo K
机构信息
Department of Health Policy and Management, Faculty of Public Health, College of Medicine and University College Hospital, University of Ibadan, P.M.B. 5017 General Post Office, Ibadan, Nigeria.
出版信息
J Pregnancy. 2011;2011:481095. doi: 10.1155/2011/481095. Epub 2011 Apr 4.
OBJECTIVES
Review of public health perspectives of preeclampsia in developing countries and implications for health system strengthening.
METHODS
Literature from Pubmed (MEDLINE), AJOL, Google Scholar, and Cochrane database were reviewed.
RESULTS
The prevalence of preeclampsia in developing countries ranges from 1.8% to 16.7%. Many challenges exist in the prediction, prevention, and management of preeclampsia. Promising prophylactic measures like low-dose aspirin and calcium supplementation need further evidence before recommendation for use in developing countries. Treatment remains prenatal care, timely diagnosis, proper management, and timely delivery. Prevailing household, community, and health system factors limiting effective control of preeclampsia in these countries were identified, and strategies to strengthen health systems were highlighted.
CONCLUSION
Overcoming the prevailing challenges in the control of preeclampsia in developing countries hinges on the ability of health care systems to identify and manage women at high risk.
目标
审视发展中国家先兆子痫的公共卫生视角及其对卫生系统强化的影响。
方法
对来自PubMed（医学索引数据库）、AJOL、谷歌学术和考克兰数据库的文献进行了综述。
结果
发展中国家先兆子痫的患病率在1.8%至16.7%之间。先兆子痫的预测、预防和管理存在诸多挑战。像低剂量阿司匹林和补钙等有前景的预防措施在推荐用于发展中国家之前还需要更多证据。治疗仍然是产前护理、及时诊断、妥善管理和适时分娩。确定了在这些国家限制有效控制先兆子痫的家庭、社区和卫生系统因素，并强调了强化卫生系统的策略。
结论
克服发展中国家控制先兆子痫方面的现有挑战取决于卫生保健系统识别和管理高危妇女的能力。
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