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妊娠期高血压疾病的流行病学

Epidemiology of the hypertensive disorders of pregnancy.

作者信息

Davies A M

出版信息

Bull World Health Organ. 1979;57(3):373-86.

PMID:314351
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2395808/
Abstract

Disorders associated with hypertension during pregnancy, which are often linked with oedema and/or proteinuria and are variously termed toxaemia of pregnancy, EPH gestosis, pre-eclampsia, and eclampsia, are of unknown etiology, although they have been known for a long time and many attempts have been made to classify and explain them. In this paper, the author draws attention to the problems of standardizing values for blood pressure, proteinuria, and oedema and of determining their value in the diagnosis of the disorder. Different classification schemes are described and the problems of comparison between them are stressed. The frequency of the hypertensive disorders of pregnancy in different countries and groups at special risk are discussed. Finally, recommendations are made on the types of research and health care needed to combat the problem.

摘要

与妊娠期高血压相关的疾病,常与水肿和/或蛋白尿有关,有多种称谓,如妊娠中毒症、EPH 妊娠中毒症、先兆子痫和子痫,其病因不明,尽管人们早已知晓这些疾病,且多次尝试对其进行分类和解释。在本文中,作者提请注意血压、蛋白尿和水肿值的标准化问题,以及确定它们在该疾病诊断中的价值。文中描述了不同的分类方案,并强调了它们之间进行比较的问题。还讨论了不同国家和特殊风险群体中妊娠高血压疾病的发生率。最后,针对应对该问题所需的研究类型和医疗保健提出了建议。

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