Walker S P, Higgins J R, Brennecke S P
Department of Perinatal Medicine, Royal Women's Hospital, Melbourne, Australia.
Obstet Gynecol Surv. 1998 Oct;53(10):636-44. doi: 10.1097/00006254-199810000-00022.
Hypertensive disorders of pregnancy remain a major cause of maternal and perinatal morbidity and mortality. Diagnosis and management of these disorders has relied on conventional blood pressure measurement, a technique fraught with error and uncertainty. Ambulatory blood pressure measurement is a promising new technique that has the potential to overcome the inaccuracies of conventional blood pressure measurement. Several ambulatory blood pressure monitors have been validated in pregnant populations, and normal reference ranges have been established. More recent research has focused on the potential clinical roles of ambulatory blood pressure measurement in pregnancy. This review addresses the limitations of conventional blood pressure measurement and reviews the current literature on the application of ambulatory blood pressure measurement in pregnancy.
妊娠期高血压疾病仍然是孕产妇和围产期发病及死亡的主要原因。这些疾病的诊断和管理一直依赖于传统的血压测量方法，而这种技术存在诸多误差和不确定性。动态血压监测是一项很有前景的新技术，有可能克服传统血压测量的不准确性。几种动态血压监测仪已在孕妇群体中得到验证，并建立了正常参考范围。最近的研究集中在动态血压监测在妊娠中的潜在临床作用。本综述阐述了传统血压测量的局限性，并回顾了目前关于动态血压监测在妊娠中应用的文献。
