妊娠期高血压疾病监测系统对预测妊娠期高血压疾病的临床价值  

CLINICAL VALUE OF PREDICTING PREGNANCY- INDUCED HYPERTENSION SYNDROME THROUGH MP MONITORING SYSTEM

作　　者：吴玲玲[1] 张学燕[1] 田俊芝[2] 张贵曼 

机构地区：[1]河北省石家庄市第四医院功能科,河北石家庄050011 [2]河北医科大学第二医院体检中心,河北石家庄050000 [3]河北省辛集市第一医院心电图室,河北辛集052360

出　　处：《河北医科大学学报》2010年第11期1313-1315,共3页Journal of Hebei Medical University

基　　金：河北省科学技术研究与发展计划(10276105D-52)

摘　　要：目的探讨妊娠期高血压疾病监测系统(MP监测系统)对妊娠期高血压疾病进行预测的临床符合率;观察对妊娠期高血压疾病预测阳性患者进行干预性治疗的临床效果。方法非干预组,对403例正常孕妇按孕周不同分4组进行MP预测、记录,至分娩观察其血压变化,总结预测阳性患者的临床符合率及符合率与孕周的关系。干预组,对136例正常孕妇从20周开始进行MP监测,预测阴性者每4周复查1次,预测阳性患者每2周复查1次,并给予生活指导和干预性治疗,观察治疗效果。结果孕周<28周、28～32周、33～38周,38>周孕妇的临床符合率分别为35.7%、56.3%、69.8%、83.3%,非干预组和干预组的妊高症发生率分别为19.6%(79/403)、10.3%(14/136),2组比较差异有统计学意义(P<0.05)。结论通过MP监测系统可以很好地筛查出妊娠期高血压疾病的高危人群,及时给予生活指导和干预性治疗,大大降低了妊娠期高血压疾病的发生率。Objective To investigate the clinical coincidence rate in predicting pregnancy - induced hypertension syndrome through MP pregnancy - induced hypertension syndrome monitoring system and to analyze the clinical effect of the intervention treatment for patients with pregnancy - induced hypertension syndrome. Methods Non - intervention group：403 cases of normal pregnant women were divided into 4 groups according to gestational weeks and variation of blood pressure and were predicted and recorded by MP to delivery. The clinical coincidence rate and relation between coincidence and gestational weeks were analyzed. Intervention group： 136 cases of normal pregnant women were monitored by MP from the 20th gestational weeks. The negative cases were rechecked per 4 weeks and positive cases per 2 weeks. They were given life guide and intervention therapy. Results The clinical coincidence rates were 35.7% , 56.3% , 69.8% and 83.3% in the women at less than 28, 28 - 32, 33 38, and more than 38 gestational weeks. The incidences of pregnancy - induced hypertension syndrome were 19.6% （79/403） and 10.3% （14/136） in the non - intervention and intervention groups （ P 〈0.05）. Conclusion MP monitoring system might screen high risk group of pregnancy - induced hypertension syndrome and the positive rate and clinical coincidences rate increase gradually with gestational weeks. The life guide and intervention therapy for the positive patients decrease the incidence of pregnancy - induced hypeilension syndrome.

关 键 词：高血压 妊娠性 预测 治疗 

分 类 号：R714.246[医药卫生—妇产科学]