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[妊娠期高血压的发病率与高血压的定义]

[Incidence of hypertension in pregnancy in relation to the definition of hypertension].

作者信息

Retzke U, Graf H

机构信息

Frauenklinik, Klinikum Suhl.

出版信息

Zentralbl Gynakol. 1994;116(2):73-5.

PMID:8147193
Abstract

According to a proposal of the International Society for the Study of Hypertension in Pregnancy (ISSHP) the definition of hypertension is based on a diastolic blood pressure of 90 mmHg or more. Systolic and mean arterial blood pressure (e.g. MAP II) are not be taken into account. Out of a clear defined district the totality of n = 2259 pregnant women has been strictly supervised till to delivery and afterwards. The frequency of hypertension according to the old ACOG-definition was calculated to be 15.9% (n = 360). According to the newer ISSHP-definition it was 12.7% (n = 287). To detect severe and hazardous cases the newer ISSHP-definition seems to be better than the older definition of ACOG. Therefore, the acceptance of the ISSHP-proposal is recommended.

摘要

根据国际妊娠高血压研究学会(ISSHP)的一项提议,高血压的定义基于舒张压90mmHg及以上。收缩压和平均动脉血压(如MAP II)不予以考虑。在一个明确界定的区域内,对n = 2259名孕妇进行了严格的全程监护直至分娩及产后。根据美国妇产科医师学会(ACOG)旧的定义计算出的高血压发生率为15.9%(n = 360)。根据ISSHP更新的定义,该发生率为12.7%(n = 287)。为了检测严重和危险病例,ISSHP更新的定义似乎比ACOG旧的定义更好。因此,建议采纳ISSHP的提议。

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