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日间评估单元中孕妇的血压评估——一项前瞻性观察研究。

Blood pressure assessments of pregnant women in a Day Assessment Unit - A prospective observational study.

作者信息

Krishnan Vidhu, Makris Angela, Hennessy AnneMarie, Hollis Brian, Lee Gaksoo

机构信息

Department of Obstetrics and Gynaecology, Liverpool Hospital, Liverpool, Australia.

Department of Renal Medicine, Liverpool Hospital, Liverpool, Australia.

出版信息

Obstet Med. 2021 Mar;14(1):26-30. doi: 10.1177/1753495X19881848. Epub 2019 Dec 4.

DOI:10.1177/1753495X19881848
PMID:33995569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8107962/
Abstract

AIM

We investigated the optimum time and number of observations for assessing women in the Day Assessment Unit.

METHODS

A single centre prospective observational study was undertaken. Women referred for blood pressure assessment in the Day Assessment Unit were recruited.

RESULTS

The blood pressure of women who subsequently developed preeclampsia was noted to change differently over the time of observation compared to women with other hypertensive disorders, most notably in the first and third hour (p = 0.042), although the averages at each hour did not differ between these two groups.

CONCLUSIONS

Mean blood pressure measured over four hours did not significantly differ compared to blood pressure measured over one hour. Women who subsequently developed preeclampsia had a different pattern of blood pressure change whilst in the Day Assessment Unit.

摘要

目的

我们研究了在日间评估单元评估女性的最佳观察时间和观察次数。

方法

开展了一项单中心前瞻性观察性研究。招募了在日间评估单元被转诊进行血压评估的女性。

结果

与患有其他高血压疾病的女性相比,随后发生子痫前期的女性血压在观察期间的变化有所不同,最显著的是在第一小时和第三小时(p = 0.042),尽管这两组在每个小时的平均值并无差异。

结论

与测量一小时的血压相比,测量四小时的平均血压并无显著差异。随后发生子痫前期的女性在日间评估单元时血压变化模式不同。

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本文引用的文献

1
The CHIPS Randomized Controlled Trial (Control of Hypertension in Pregnancy Study): Is Severe Hypertension Just an Elevated Blood Pressure?CHIPS随机对照试验(妊娠期高血压控制研究):重度高血压仅仅是血压升高吗?
Hypertension. 2016 Nov;68(5):1153-1159. doi: 10.1161/HYPERTENSIONAHA.116.07862. Epub 2016 Sep 12.
2
The hypertensive disorders of pregnancy (29.3).妊娠期高血压疾病(29.3)
Best Pract Res Clin Obstet Gynaecol. 2015 Jul;29(5):643-57. doi: 10.1016/j.bpobgyn.2015.04.001. Epub 2015 Apr 25.
3
How do we measure blood pressure at home?我们如何在家测量血压?
Blood Press. 2015 Jun;24(3):174-7. doi: 10.3109/08037051.2014.997082. Epub 2015 Jan 22.
4
Maternal and fetal outcome in de novo preeclampsia in comparison to superimposed preeclampsia: a two-year observational study.新发子痫前期与叠加子痫前期的母胎结局:一项为期两年的观察性研究。
Hypertens Pregnancy. 2015 May;34(2):137-44. doi: 10.3109/10641955.2014.982329. Epub 2014 Dec 30.
5
The SOMANZ Guidelines for the Management of Hypertensive Disorders of Pregnancy 2014.《2014年澳大利亚和新西兰围产期学会妊娠期高血压疾病管理指南》
Aust N Z J Obstet Gynaecol. 2015 Feb;55(1):11-6. doi: 10.1111/ajo.12253. Epub 2014 Oct 11.
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Public health perspectives of preeclampsia in developing countries: implication for health system strengthening.发展中国家子痫前期的公共卫生视角:对卫生系统强化的启示
J Pregnancy. 2011;2011:481095. doi: 10.1155/2011/481095. Epub 2011 Apr 4.
7
Antenatal day care units versus hospital admission for women with complicated pregnancy.复杂妊娠女性的产前日间护理单元与住院治疗对比
Cochrane Database Syst Rev. 2009 Oct 7;2009(4):CD001803. doi: 10.1002/14651858.CD001803.pub2.
8
Assessing the onset of pre-eclampsia in the hospital day unit: summary of the pre-eclampsia guideline (PRECOG II).在医院日间病房评估子痫前期的发病情况:子痫前期指南(PRECOG II)总结
BMJ. 2009 Sep 9;339:b3129. doi: 10.1136/bmj.b3129.
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[The good use of home blood pressure monitoring. Consensus document].[家庭血压监测的合理应用。共识文件]
J Pharm Belg. 2009 Jun(2):33-6.
10
Hypertensive disorders and severe obstetric morbidity in the United States.美国的高血压疾病与严重产科并发症
Obstet Gynecol. 2009 Jun;113(6):1299-1306. doi: 10.1097/AOG.0b013e3181a45b25.