Department of Nephrology and Hypertension, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Adv Chronic Kidney Dis. 2013 May;20(3):229-39. doi: 10.1053/j.ackd.2013.01.014.
Hypertensive pregnancy disorders complicate 6% to 8% of pregnancies and cause significant maternal and fetal morbidity and mortality. The goal of treatment is to prevent significant cerebrovascular and cardiovascular events in the mother without compromising fetal well-being. Current guidelines differentiate between the treatment of women with acute hypertensive syndromes of pregnancy and women with preexisting chronic hypertension in pregnancy. This review will address the management of hypertension in pregnancy, review the various pharmacologic therapies, and discuss the future directions in this field.
妊娠高血压疾病使 6%至 8%的妊娠复杂化,并导致产妇和胎儿发病率和死亡率显著增加。治疗的目的是在不损害胎儿健康的情况下,预防母亲发生严重的脑血管和心血管事件。目前的指南将妊娠急性高血压综合征和妊娠合并慢性高血压的女性治疗区分开来。本综述将讨论妊娠高血压的管理,回顾各种药物治疗,并讨论该领域的未来方向。