Remich M C, Youngkin E Q
School of Nursing, Medical College of Virginia-Virginia Commonwealth University, Richmond.
Nurse Pract. 1989 Jan;14(1):20-4.
This article reports the results of a correlational study that explored the association between the three factors of pregravid weight, prenatal weight gain at 28 weeks and maternal age, and the subsequent development of pregnancy-induced hypertension (PIH). A significant relationship between low maternal age and PIH development was found. Further data analysis showed that PIH occurred significantly more often when the second trimester mean arterial pressure (MAP) did not drop to a level lower than the first trimester MAP. Clinically, emphasis should be placed on early detection of women at high risk for PIH development. Analysis of the MAP changes could prove to be a low-cost, effective and low-risk predictive test for PIH development.
本文报告了一项相关性研究的结果，该研究探讨了孕前体重、孕28周时的孕期体重增加和母亲年龄这三个因素与随后发生的妊娠高血压（PIH）之间的关联。研究发现母亲年龄低与PIH发生之间存在显著关系。进一步的数据分析表明，当孕中期平均动脉压（MAP）未降至低于孕早期MAP的水平时，PIH的发生频率显著更高。临床上，应着重早期发现有PIH发生高风险的女性。对MAP变化的分析可能是一种低成本、有效且低风险的PIH发生预测测试。
