摘要
目的:探讨动态血压监测与子痫前期患者围产期母儿不良事件的相关性。方法:选取2014年1月至2015年8月在我院分娩的子痫前期患者144例,其中84例发生母儿不良事件(A组),60例未发生母儿不良事件(B组)。另取正常单胎孕妇60例(C组)。结果:A、B、C 3组孕妇的24h平均血压、昼平均血压、夜平均血压、脉压、平均动脉压依次递减(P<0.05);A组与B组的血压负荷明显高于C组(P<0.05);A组的夜间收缩压下降率明显低于B、C组(P<0.05)。多元逻辑分析提示,发病孕周与夜收缩压负荷是发生母儿不良事件的独立危险因素。结论:对于发病孕周早、夜间收缩压负荷高的子痫前期患者,应加强孕期监护,避免或减少母儿不良事件的发生。
Objective:To discuss the relationship between ambulatory blood pressure monitoring and perinatal adverse outcome in patients with preeclampsia.Methods:The datas of144 pregnant patients with preeclampsia were analyzed retrospectively.These patients were divided into two groups:84 cases in group A who had perinatal adverse outcome,and 60 cases without perinatal adverse outcome in group B.Another 60 healthy pregnant women were recruited in group C.Results:The 24 h blood pressure,day blood pressure,night blood pressure,pulse pressure,mean arterial pressure of group A,B,and C were decressing(P < 0.05).The blood pressure loads of group A and B were significantly higher than those of group C(P<0.05).The night systolic blood pressure decrease rate of group A was significantly lowerer than those of group B and C(P <0.05).The onset gestational ages and night systolic blood pressure loads were found to be the independent risk factors of perinatal adverse outcome by multiple logistic analysis.Conclusions:The patients with preeclampsia who earlier develop the disease orhave higher night systolic blood pressure loads should be monitored more carefully.
出处
《现代妇产科进展》
CSCD
北大核心
2016年第5期358-360,共3页
Progress in Obstetrics and Gynecology
关键词
子痫前期
动态血压监测
围产期母儿不良事件
Preeclampsia
Ambulatory blood pressure monitoring
Perinatal adverse outcome
