Lagunes-Espinosa Alma Luisa, Ríos-Castillo Brenda, Peralta-Pedrero María Luisa, del Rocío Cruz-Cruz Polita, Sánchez-Ambríz Slivia, Sánchez-Santana Joaquín Renato, Ramírez-Mota Carolina, Zavaleta-Vargas Norma Octavia, López-Cisneros Gabriela
Unidad de Medicina Familiar 52, Estado de México, Mexico.
Rev Med Inst Mex Seguro Soc. 2011 Mar-Apr;49(2):213-24.
Hypertensive disorders in pregnancy (HDP) are the main complication and cause of maternal and perinatal death. Pre-eclampsia represents a 34%, according to the Secretaría de Salud de México. To offer the family physicians tools for the opportune detection and diagnosis of HDP a clinical guideline was developmented. Clinical questions were formulated and structured. A standardized sequence to search for Practice Guidelines, based on the key words: hypertensive disorders in pregnancy, pre-eclampsia. Tripdatabase, MDConsult, National Guideline Clearinghouse, Scottish Intercollegiate Guidelines Network, National Institute for Health and Clinical Excellence were used. In addition, Cochrane Library Plus, Science Direct and OVID were used. Most of the recommendations were taken from guidelines selected and supplemented with the remaining material. The information is expressed in levels of evidence and grade of recommendation according to the characteristics of the study design and type of publications. To reduce morbidity and mortality from HDP health professionals should identify risk factors; conduct a close monitoring and early diagnosis. It is essential to provide information to the pregnant patient on alarm data and behavior to follow. This clinical practice guide offers current evidence for screening and diagnosis of HDP in primary care.
妊娠期高血压疾病(HDP)是孕产妇和围产期死亡的主要并发症及原因。根据墨西哥卫生部的数据,子痫前期占比34%。为了给家庭医生提供适时检测和诊断HDP的工具,制定了一项临床指南。临床问题已被提出并结构化。基于关键词“妊娠期高血压疾病”“子痫前期”制定了搜索实践指南的标准化流程。使用了Trip数据库、MDConsult、国家指南交换中心、苏格兰校际指南网络、英国国家卫生与临床优化研究所。此外,还使用了Cochrane图书馆升级版、科学Direct和OVID。大多数建议取自所选指南,并辅以其余材料。根据研究设计特点和出版物类型,信息以证据级别和推荐等级表示。为降低HDP的发病率和死亡率,卫生专业人员应识别风险因素;进行密切监测和早期诊断。向孕妇提供有关警示数据和应遵循行为的信息至关重要。本临床实践指南为初级保健中HDP的筛查和诊断提供了当前证据。