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妊娠期高血压疾病:1990年至2019年的全球负担、当前研究热点及新趋势

Hypertensive Disorders in Pregnancy: Global Burden From 1990 to 2019, Current Research Hotspots and Emerging Trends.

作者信息

Fu Ru, Li Yihui, Li Xiaogang, Jiang Weihong

机构信息

Department of Cardiology, The Third Xiangya Hospital, Central South University, Changsha, China.

Department of Cardiology, The Third Xiangya Hospital, Central South University, Changsha, China.

出版信息

Curr Probl Cardiol. 2023 Dec;48(12):101982. doi: 10.1016/j.cpcardiol.2023.101982. Epub 2023 Jul 20.

Abstract

Hypertensive disorders in pregnancy (HDP) constitute a worldwide health problem for pregnant women and their infants. This study provided HDP burden over 1990 to 2019 by region and age distribution, and predicted changes in related values for the next 25 years. We then conducted an econometric analysis of the author distribution, collaborative networks, keyword burst clustering, and spatio-temporal analysis of HDP-related publications from 2012 to 2022 to access current scientific developments and hotspots. The number of pregnant women with HDP has been increasing over the past 30 years, with regional and age-stratified differences in the burden of disease. Additionally, projections suggest an increase of deaths due to maternal HDP among adolescents younger than 20 years. Current research is mostly centered on pre-eclampsia, with hot keywords including trophoblast, immune tolerance, frozen-thawed embryo transfer, aspirin, gestational diabetes association, and biomarkers. Researches on the pathological mechanism, classification, and subtypes of HDP need to be further advanced.

摘要

妊娠期高血压疾病(HDP)是全球孕妇及其婴儿面临的一个健康问题。本研究按地区和年龄分布给出了1990年至2019年期间HDP的负担情况,并预测了未来25年相关数值的变化。然后,我们对2012年至2022年期间HDP相关出版物的作者分布、合作网络、关键词爆发聚类以及时空分析进行了计量经济学分析,以了解当前的科学发展和热点。在过去30年中,患有HDP的孕妇数量一直在增加,疾病负担存在地区和年龄分层差异。此外,预测表明20岁以下青少年因孕产妇HDP导致的死亡人数将会增加。当前的研究大多集中在子痫前期,热门关键词包括滋养层、免疫耐受、冻融胚胎移植、阿司匹林、妊娠糖尿病关联和生物标志物。对HDP的病理机制、分类和亚型的研究需要进一步推进。

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