Tomoda S, Kitanaka T, Ogita S, Hidaka A
Department of Obstetrics and Gynecology, Osaka City University Medical School, Japan.
Asia Oceania J Obstet Gynaecol. 1994 Sep;20(3):249-55. doi: 10.1111/j.1447-0756.1994.tb00465.x.
The purpose of this study is to evaluate an isometric exercise (Hand-Grip test) as a method to predict pregnancy-induced hypertension (PIH). One hundred and twenty-five pregnant women were given the Hand-Grip (HG) test before the 15th gestational week. The Hand-Grip test was rated positive when the systolic blood pressure increased 15 mmHg or more during isometric exercise or decreased 14 mmHg or more immediately after isometric exercise. As a result, the Hand-Grip test had the highest sensitivity (81.8%) and specificity (68.4%) for predicting PIH, compared to other risk factors. The positive predictive value was 20% (second highest among risk factors, the actual incidence of hypertension was 8.8%), and the negative predictive value was 97.5% (highest). In conclusion, by use of a very simple Hand-Grip test early in gestation, we are able to predict PIH with the highest sensitivity.
本研究的目的是评估等长运动（握力测试）作为预测妊娠期高血压（PIH）的一种方法。125名孕妇在妊娠第15周前接受了握力（HG）测试。当等长运动期间收缩压升高15 mmHg或更多，或等长运动后立即降低14 mmHg或更多时，握力测试被评定为阳性。结果，与其他风险因素相比，握力测试在预测PIH方面具有最高的敏感性（81.8%）和特异性（68.4%）。阳性预测值为20%（在风险因素中排第二高，高血压实际发病率为8.8%），阴性预测值为97.5%（最高）。总之，通过在妊娠早期使用非常简单的握力测试，我们能够以最高的敏感性预测PIH。
