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子痫前期对健康的影响:对母婴结局的综合分析。

Health Impacts of Pre-eclampsia: A Comprehensive Analysis of Maternal and Neonatal Outcomes.

机构信息

Doctoral School, "Victor Babeş" University of Medicine and Pharmacy, Eftimie Murgu Sq. No.2, 300041 Timisoara, Romania.

Ist Clinic of Obstetrics and Gynecology, "Pius Brinzeu" County Clinical Emergency Hospital, 300723 Timisoara, Romania.

出版信息

Medicina (Kaunas). 2024 Sep 12;60(9):1486. doi: 10.3390/medicina60091486.

Abstract

: Hypertensive disorders, particularly pre-eclampsia, pose significant risks during pregnancy, affecting both maternal and neonatal health. The study aims to analyze short- and long-term health implications for mothers and their children, comparing those with pre-eclampsia to those without, to improve understanding of risk factors, diagnostic markers, and outcomes. : This retrospective observational study involved 235 patients, 98 with pre-eclampsia and 137 without, monitored from 2015 to 2018 at the Obstetrics and Gynecology Department of the "Pius Brînzeu" Emergency County Clinical Hospital in Timișoara, Romania. : Women with pre-eclampsia were older, had higher BMIs, and more frequently had a family history of pre-eclampsia, hypertension, and diabetes. They also had lower educational and socioeconomic levels and fewer prenatal visits. Biochemical markers such as higher proteinuria, elevated sFlt-1, and lower PlGF were significant in diagnosing pre-eclampsia. Short-term maternal complications like eclampsia, HELLP syndrome, and acute kidney injury were more prevalent in the pre-eclampsia group. Neonatal outcomes included higher rates of preterm birth, low birth weight, and NICU admissions. Long-term mothers with a history of pre-eclampsia had higher incidences of chronic hypertension, cardiovascular disease, kidney problems, diabetes, and mental health disorders. Their children faced increased risks of neuropsychological delays, chronic respiratory issues, behavioral disorders, learning difficulties, and frequent infections. The study highlights the significant short- and long-term health impacts of pre-eclampsia on both mothers and their children. Early monitoring, intervention, and comprehensive management are crucial in mitigating these risks. These findings underscore the need for personalized care strategies to improve health outcomes for affected individuals.

摘要

: 高血压疾病,尤其是子痫前期,在妊娠期间会带来重大风险,影响母婴健康。本研究旨在分析母亲及其子女的短期和长期健康影响,比较子痫前期患者和无子痫前期患者,以增进对风险因素、诊断标志物和结局的理解。: 这项回顾性观察研究涉及 235 名患者,2015 年至 2018 年期间,罗马尼亚蒂米什瓦拉的“皮乌斯·布林泽乌”紧急县临床医院妇产科对其中 98 名患有子痫前期的患者和 137 名无子痫前期的患者进行了监测。: 患有子痫前期的女性年龄更大,BMI 更高,且更常患有子痫前期、高血压和糖尿病家族史。她们的教育和社会经济水平更低,产前检查次数更少。生物化学标志物如蛋白尿升高、可溶性 fms 样酪氨酸激酶-1(sFlt-1) 升高和胎盘生长因子(PlGF) 降低对子痫前期的诊断具有重要意义。子痫前期组更常见短期母婴并发症,如子痫、HELLP 综合征和急性肾损伤。新生儿结局包括早产、低出生体重和新生儿重症监护病房(NICU)入院率较高。有子痫前期病史的母亲长期患慢性高血压、心血管疾病、肾脏问题、糖尿病和精神健康障碍的风险更高。她们的孩子面临神经心理发育迟缓、慢性呼吸系统问题、行为障碍、学习困难和频繁感染风险增加。该研究强调了子痫前期对母婴短期和长期健康的重大影响。早期监测、干预和综合管理对于减轻这些风险至关重要。这些发现突显了需要制定个性化护理策略,以改善受影响个体的健康结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82d0/11434575/f449ceddf548/medicina-60-01486-g001.jpg

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