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妊娠期高血压疾病:聚焦临床肾科医生的定义

The Hypertensive Disorders of Pregnancy: A Focus on Definitions for Clinical Nephrologists.

作者信息

Longhitano Elisa, Siligato Rossella, Torreggiani Massimo, Attini Rossella, Masturzo Bianca, Casula Viola, Matarazzo Ida, Cabiddu Gianfranca, Santoro Domenico, Versino Elisabetta, Piccoli Giorgina Barbara

机构信息

Néphrologie et Dialyse, Centre Hospitalier Le Mans, 194 Avenue Rubillard, 72037 Le Mans, France.

Unit of Nephrology and Dialysis, Department of Clinical and Experimental Medicine, A.O.U. "G. Martino", University of Messina, 98125 Messina, Italy.

出版信息

J Clin Med. 2022 Jun 14;11(12):3420. doi: 10.3390/jcm11123420.

DOI:10.3390/jcm11123420
PMID:35743489
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9225655/
Abstract

About 5-10% of pregnancies are complicated by one of the hypertensive disorders of pregnancy. The women who experience these disorders have a greater risk of having or developing kidney diseases than women with normotensive pregnancies. While international guidelines do not provide clear indications for a nephrology work-up after pregnancy, this is increasingly being advised by nephrology societies. The definitions of the hypertensive disorders of pregnancy have changed greatly in recent years. The objective of this short review is to gather and comment upon the main definitions of the hypertensive disorders of pregnancy as a support for nephrologists, who are increasingly involved in the short- and long-term management of women with these disorders.

摘要

约5% - 10%的妊娠会并发妊娠高血压疾病之一。与血压正常的孕妇相比,患有这些疾病的女性患肾病或发展为肾病的风险更高。虽然国际指南未明确指出妊娠后进行肾脏科检查的指征,但肾脏科协会越来越多地建议进行此类检查。近年来,妊娠高血压疾病的定义发生了很大变化。本简短综述的目的是收集并评论妊娠高血压疾病的主要定义,以支持越来越多地参与这些疾病女性短期和长期管理的肾脏科医生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fa/9225655/14eaa82b9a14/jcm-11-03420-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fa/9225655/5133a0a39db4/jcm-11-03420-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fa/9225655/1f9ebaf3d575/jcm-11-03420-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fa/9225655/14eaa82b9a14/jcm-11-03420-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fa/9225655/5133a0a39db4/jcm-11-03420-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fa/9225655/1f9ebaf3d575/jcm-11-03420-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fa/9225655/14eaa82b9a14/jcm-11-03420-g003.jpg

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J Nephrol. 2025 Apr 11. doi: 10.1007/s40620-025-02265-x.
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Baseline proteinuria level and adverse outcomes in pregnant women with chronic kidney disease: new evidence and a note of caution.

本文引用的文献

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Kidney Int Rep. 2021 Dec 17;7(3):547-557. doi: 10.1016/j.ekir.2021.12.014. eCollection 2022 Mar.
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Adding creatinine to routine pregnancy tests: a decision tree for calculating the cost of identifying patients with CKD in pregnancy.在常规妊娠检查中加入肌酐检测:用于计算在妊娠期间识别 CKD 患者的成本的决策树。
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Understanding PPARγ and Its Agonists on Trophoblast Differentiation and Invasion: Potential Therapeutic Targets for Gestational Diabetes Mellitus and Preeclampsia.了解过氧化物酶体增殖物激活受体 γ 及其激动剂对滋养层分化和侵袭的作用:妊娠糖尿病和子痫前期的潜在治疗靶点。
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Association between maternal vitamin D levels and risk of adverse pregnancy outcomes: a systematic review and dose-response meta-analysis.母体维生素 D 水平与不良妊娠结局风险的关联:系统评价和剂量反应荟萃分析。
Food Funct. 2022 Jan 4;13(1):14-37. doi: 10.1039/d1fo03033g.
5
Could Vitamin D Be Effective in Prevention of Preeclampsia?维生素 D 预防子痫前期有效吗?
Nutrients. 2021 Oct 28;13(11):3854. doi: 10.3390/nu13113854.
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Pediatr Nephrol. 2022 Aug;37(8):1733-1745. doi: 10.1007/s00467-021-05235-0. Epub 2021 Nov 4.
7
Aspirin Use to Prevent Preeclampsia and Related Morbidity and Mortality: US Preventive Services Task Force Recommendation Statement.阿司匹林用于预防子痫前期及相关发病率和死亡率:美国预防服务工作组推荐声明。
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