新的子痫前期定义血压截断值：130/80mmHg。
New blood pressure cut off for preeclampsia definition: 130/80 mmHg.
机构信息
Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY, USA.
Department of Health Sciences, Obstetrics and Gynecology Branch, University of Florence, Florence, Italy.
出版信息
Eur J Obstet Gynecol Reprod Biol. 2019 Sep;240:322-324. doi: 10.1016/j.ejogrb.2019.07.019. Epub 2019 Jul 26.
The classical diagnosis of preeclampsia is usually based on the fulfillment of 3 criteria: pregnancy > 20 weeks of gestation, proteinuria (2+ on dipstick or > 300 mg/24 h) and arterial hypertension ≥ 140/90 mm Hg. The current blood pressure cut off of 140/90 mm Hg was set by the American College of Obstetrics and Gynecology (ACOG)-issued practice bulletin of 2019, the 2013 Task Force and the guidelines prompted by the International Society for the Study of Hypertension in Pregnancy (ISSHP). The evidence on which the current cut-off is based is scarce and not updated. We propose the application of the 2017 American College of Cardiology/American Heart Association (ACC/AHA) guidelines on pregnant women and defining preeclampsia with the new 130/80 blood pressure cut-off.
子痫前期的经典诊断通常基于以下 3 个标准：妊娠>20 周，蛋白尿（尿试纸检测 2+或>300mg/24h）和动脉高血压≥140/90mmHg。目前 140/90mmHg 的血压临界值是由美国妇产科医师学会（ACOG）2019 年发布的实践公告、2013 年工作组以及国际妊娠高血压学会（ISSHP）指南建议的。目前该临界值所依据的证据很少且没有更新。我们建议应用 2017 年美国心脏病学会/美国心脏协会（ACC/AHA）指南对孕妇进行评估，并采用新的 130/80mmHg 血压临界值来定义子痫前期。
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