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妊娠期高血压疾病管理实用指南。

Practical guide for the management of hypertensive disorders during pregnancy.

机构信息

3rd Department of Internal Medicine, G.N Papageorgiou, Aristotle University of Thessaloniki.

1st Pediatric Department, Aristotle University of Thessaloniki, Hippokratio General Hospital of Thessaloniki, Thessaloniki, Greece.

出版信息

J Hypertens. 2022 Jul 1;40(7):1257-1264. doi: 10.1097/HJH.0000000000003194.

Abstract

Hypertensive disorders of pregnancy, including gestational hypertension, preeclampsia, and eclampsia, are a worldwide health problem. Hypertensive disorders of pregnancy affect more than 10% of pregnancies and are associated with increased mortality and morbidity for both mother and fetus. Although patients' outcomes and family's experience will always be the primary concern regarding hypertensive complications during pregnancy, the economic aspect of this disease is also worth noting. Compared with normotensive pregnancies, those related with hypertension resulted in an excess increase in hospitalization and healthcare cost. Hence, the focus of this review is to analyze hypertensive disorders of pregnancy and to present practical tips with clear instructions for the clinical management of hypertensive disorders of pregnancy. This overview offers a detailed approach from the diagnosis to treatment and follow-up of a pregnant women with hypertension, evidence based, to support these instructions.

摘要

妊娠高血压疾病,包括妊娠期高血压、子痫前期和子痫,是一个全球性的健康问题。妊娠高血压疾病影响超过 10%的妊娠,与母亲和胎儿的死亡率和发病率增加有关。尽管患者的结局和家庭的经历始终是妊娠期间高血压并发症的主要关注点,但该疾病的经济方面也值得注意。与正常血压妊娠相比,与高血压相关的妊娠导致住院和医疗保健费用的过度增加。因此,本综述的重点是分析妊娠高血压疾病,并提出实用技巧,为妊娠高血压疾病的临床管理提供明确的指导。本综述提供了一种从诊断到治疗和随访高血压孕妇的详细方法,基于证据,以支持这些指导。

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