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妊娠期肾小球疾病的处理方法

Approach to Glomerular Disease in Pregnancy.

作者信息

Meena Priti, Jesudason Shilpanjali, Popa Cristina Adriana, Rao Namrata S, Priyamvada P S

机构信息

Department of Nephrology, All India Institute of Medical Sciences, Sijua, Patrapada, Bhubaneswar, Odisha, India.

Central and Northern Adelaide Renal and Transplantation Service, Faculty of Health and Medical Sciences, University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia.

出版信息

Indian J Nephrol. 2024 Nov-Dec;34(6):561-572. doi: 10.25259/IJN_26_2024. Epub 2024 Jul 15.

DOI:10.25259/IJN_26_2024
PMID:39649308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11618947/
Abstract

The presence of glomerular diseases in pregnancy presents challenges to both patients and nephrologists. The preconception planning in patients with kidney disease involves comprehensive stratification, treatment optimization, and comorbidity assessment, requiring nephrologists to engage in well-informed decision-making processes alongside their patients. There is a necessity for a multidisciplinary approach to meet their complex healthcare needs. Effective control of blood pressure, proteinuria, and disease activity are pivotal in mitigating adverse pregnancy events. This comprehensive review intends to equip nephrologists with the requisite knowledge and understanding to navigate the intricate landscape of glomerular diseases in pregnancy. It delves into the challenges associated with the diagnosis of glomerular diseases, the significance of preconception counseling, and the nuances of antenatal and postnatal care. Additionally, the article provides insights into the management and prognosis of glomerular diseases, shedding light on the judicious use of immunosuppression as a therapeutic tool.

摘要

妊娠期肾小球疾病的存在给患者和肾病科医生都带来了挑战。肾病患者的孕前规划包括全面分层、优化治疗和合并症评估，这要求肾病科医生与患者一起参与明智的决策过程。需要采取多学科方法来满足他们复杂的医疗保健需求。有效控制血压、蛋白尿和疾病活动对于减轻不良妊娠事件至关重要。这篇综述旨在为肾病科医生提供必要的知识和理解，以应对妊娠期肾小球疾病的复杂情况。它深入探讨了与肾小球疾病诊断相关的挑战、孕前咨询的重要性以及产前和产后护理的细微差别。此外，本文还提供了关于肾小球疾病管理和预后的见解，阐明了合理使用免疫抑制作为一种治疗手段的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9974/11618947/8e22fe0cc3a5/IJN-34-6-561-g5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9974/11618947/f511f0998d52/IJN-34-6-561-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9974/11618947/75f3c85781f1/IJN-34-6-561-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9974/11618947/8f2f3e454f46/IJN-34-6-561-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9974/11618947/c7f9952b5500/IJN-34-6-561-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9974/11618947/8e22fe0cc3a5/IJN-34-6-561-g5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9974/11618947/f511f0998d52/IJN-34-6-561-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9974/11618947/75f3c85781f1/IJN-34-6-561-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9974/11618947/8f2f3e454f46/IJN-34-6-561-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9974/11618947/c7f9952b5500/IJN-34-6-561-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9974/11618947/8e22fe0cc3a5/IJN-34-6-561-g5.jpg

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本文引用的文献

1
Circulating Angiogenic Factor Levels in Hypertensive Disorders of Pregnancy.妊娠期高血压疾病相关循环血管生成因子水平。
NEJM Evid. 2022 Dec;1(12):EVIDoa2200161. doi: 10.1056/EVIDoa2200161. Epub 2022 Nov 9.
2
Effects of GLP-1 agonists and SGLT2 inhibitors during pregnancy and lactation on offspring outcomes: a systematic review of the evidence.GLP-1 激动剂和 SGLT2 抑制剂在妊娠和哺乳期对后代结局的影响：证据的系统评价。
Front Endocrinol (Lausanne). 2023 Oct 10;14:1215356. doi: 10.3389/fendo.2023.1215356. eCollection 2023.
3
2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA).
2023ESH 动脉高血压管理指南 欧洲高血压学会动脉高血压管理工作组：得到国际高血压学会 (ISH) 和欧洲肾脏协会 (ERA) 的认可。
J Hypertens. 2023 Dec 1;41(12):1874-2071. doi: 10.1097/HJH.0000000000003480. Epub 2023 Sep 26.
4
Pregnancy History and Kidney Disease Progression Among Women Enrolled in Cure Glomerulonephropathy.参与治愈肾小球肾炎研究的女性的妊娠史与肾脏疾病进展
Kidney Int Rep. 2023 Feb 1;8(4):805-817. doi: 10.1016/j.ekir.2023.01.036. eCollection 2023 Apr.
5
Hydroxychloroquine significantly decreases the risk of preeclampsia in pregnant women with autoimmune disorders: a systematic review and meta-analysis.羟氯喹可显著降低自身免疫性疾病孕妇子痫前期的发病风险：一项系统评价和荟萃分析。
Clin Rheumatol. 2023 May;42(5):1223-1235. doi: 10.1007/s10067-022-06496-2. Epub 2023 Feb 2.
6
Glomerular diseases in pregnancy: pragmatic recommendations for clinical management.妊娠期肾小球疾病：临床管理实用建议
Kidney Int. 2023 Feb;103(2):264-281. doi: 10.1016/j.kint.2022.10.029. Epub 2022 Dec 5.
7
Treatment for Mild Chronic Hypertension during Pregnancy.妊娠期轻度慢性高血压的治疗。
N Engl J Med. 2022 May 12;386(19):1781-1792. doi: 10.1056/NEJMoa2201295. Epub 2022 Apr 2.
8
Hydroxychloroquine in the pregnancies of women with lupus: a meta-analysis of individual participant data.羟氯喹在狼疮孕妇中的应用：一项个体参与者数据的荟萃分析。
Lupus Sci Med. 2022 Mar;9(1). doi: 10.1136/lupus-2021-000651.
9
Pregnancy in Women With Preexisting Glomerular Diseases: A Single-Center Experience.患有既往肾小球疾病的女性妊娠：单中心经验
Front Med (Lausanne). 2022 Feb 14;9:801144. doi: 10.3389/fmed.2022.801144. eCollection 2022.
10
Systemic Lupus Erythematosus Management in Pregnancy.妊娠期系统性红斑狼疮的管理
Int J Womens Health. 2022 Feb 15;14:199-211. doi: 10.2147/IJWH.S282604. eCollection 2022.