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《2014年妊娠期高血压疾病管理的SOMANZ指南》

SOMANZ guidelines for the management of hypertensive disorders of pregnancy 2014.

作者信息

Lowe Sandra A, Bowyer Lucy, Lust Karin, McMahon Lawrence P, Morton Mark, North Robyn A, Paech Michael, Said Joanne M

机构信息

Department of Medicine, Royal Hospital for Women, Sydney, New South Wales, Australia.

School of Women's and Children's Health, UNSW, Sydney, New South Wales, Australia.

出版信息

Aust N Z J Obstet Gynaecol. 2015 Oct;55(5):e1-29. doi: 10.1111/ajo.12399. Epub 2015 Sep 28.

Abstract

This guideline is an evidence based, practical clinical approach to the management of Hypertensive Disorders of Pregnancy. Since the previous SOMANZ guideline published in 2008, there has been significant international progress towards harmonisation of definitions in relation to both the diagnosis and management of preeclampsia and gestational hypertension. This reflects increasing knowledge of the pathophysiology of these conditions, as well as their clinical manifestations. In addition, the guideline includes the management of chronic hypertension in pregnancy, an approach to screening, advice regarding prevention of hypertensive disorders of pregnancy, and discussion of recurrence risks and long term risk to maternal health. The literature reviewed included the previous SOMANZ Hypertensive Disorders of Pregnancy guideline from 2008 and its reference list, plus all other published National and International Guidelines on this subject. Medline, Cochrane Database of Systematic Reviews (CDSR), Cochrane Central Registry of Controlled Trials (CCRCT), National Institute for Health and Care Excellence (NICE) Evidence Search, and Database of Abstracts and Reviews of Effects (DARE) were searched for literature published between January 2007 and March, 2014.

摘要

本指南是一种基于证据的、实用的妊娠期高血压疾病临床管理方法。自2008年发布上一版澳大利亚和新西兰妇产科医师学会(SOMANZ)指南以来,在子痫前期和妊娠期高血压的诊断与管理相关定义的统一方面,国际上已取得显著进展。这反映出对这些病症病理生理学及其临床表现的认识不断增加。此外,该指南涵盖了妊娠期慢性高血压的管理、筛查方法、关于预防妊娠期高血压疾病的建议,以及复发风险和对孕产妇健康长期风险的讨论。所审查的文献包括2008年的上一版SOMANZ妊娠期高血压疾病指南及其参考文献列表,以及所有其他已发表的关于该主题的国家和国际指南。检索了Medline、Cochrane系统评价数据库(CDSR)、Cochrane对照试验中央注册库(CCRCT)、英国国家卫生与临床优化研究所(NICE)证据检索库以及效果摘要与综述数据库(DARE),以查找2007年1月至2014年3月期间发表的文献。

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