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妊娠期高血压疾病的评估与管理。

Evaluation and Management of Hypertensive Disorders of Pregnancy.

机构信息

Department of Nephrology, Seth G.S.M.C & K.E.M. Hospital, Mumbai, India.

Department of Internal Medicine - Nephrology, University of Medicine and Pharmacy "Grigore T Popa", Iasi, Romania.

出版信息

Kidney360. 2023 Oct 1;4(10):1512-1525. doi: 10.34067/KID.0000000000000228.

Abstract

Hypertensive disorders of pregnancy complicate up to 10% of pregnancies and remain the major cause of maternal and neonatal morbidity and mortality. Hypertensive disorders of pregnancy can be classified into four groups depending on the onset of hypertension and the presence of target organ involvement: chronic hypertension, preeclampsia, gestational hypertension, and superimposed preeclampsia on chronic hypertension. Hypertension during pregnancy is associated with a higher risk of cardiovascular disease and kidney failure. Early diagnosis and proper treatment for pregnant women with hypertension remain a priority since this leads to improved maternal and fetal outcomes. Labetalol, nifedipine, methyldopa, and hydralazine are the preferred medications to treat hypertension during pregnancy. In this comprehensive review, we discuss the diagnostic criteria, evaluation, and management of pregnant women with hypertension.

摘要

妊娠高血压疾病影响多达 10%的妊娠,仍是孕产妇和新生儿发病率和死亡率的主要原因。妊娠高血压疾病可根据高血压的发病时间和靶器官受累情况分为四类:慢性高血压、子痫前期、妊娠期高血压和慢性高血压基础上发生子痫前期。妊娠期间的高血压与心血管疾病和肾衰竭的风险增加相关。对患有高血压的孕妇进行早期诊断和适当治疗仍然是重中之重,因为这可以改善母婴结局。拉贝洛尔、硝苯地平、甲基多巴和肼屈嗪是治疗妊娠高血压的首选药物。在这篇全面的综述中,我们讨论了妊娠高血压妇女的诊断标准、评估和管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7b7/10617800/0f30fc608070/kidney360-4-01512-g001.jpg

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