动脉硬化检测仪预测妊娠期高血压疾病的临床观察  

Clinical analysis of arteriosclerosis detector in the prediction of hypertensive disorder complicating pregnancy

作　　者：黄峻[1] 鞠文东[2] 周涛[2] 万波[3] 赵烨[3] 黄海红[3] 何一雄[3] 陈明[1] 

机构地区：[1]南方医科大学附属中山市博爱医院心电生理科,广东中山528403 [2]南方医科大学附属中山市博爱医院内科,广东中山528403 [3]南方医科大学附属中山市博爱医院妇产科,广东中山528403

出　　处：《江苏实用心电学杂志》2013年第5期768-770,共3页Journal of Practical Electrocardiology JS

基　　金：广东省中山市科技局科研立项项目(20113A106)

摘　　要：目的探讨动脉硬化检测仪在妊娠期高血压疾病(hypertensive disorder complicating pregnancy,HDCP)中的预测和预防价值。方法应用日本Colin公司生产的动脉硬化检测仪对500例孕妇及100例育龄妇女进行臂踝脉搏波传导速度(brachial-ankle pulse wave velocity,baPWV)监测,将baPWV增高的225例孕妇随机分为115例干预治疗组和110例未干预对照组,分别与baPWV正常孕妇组进行HDCP发生率的比较。结果孕妇baPWV增高例数比育龄妇女多,差异有统计学意义(P<0.01)。干预组、对照组及baPWV正常孕妇组HDCP发生率分别为7.83%、25.45%和5.82%。干预组发生HDCP明显减少,与对照组比较,差异有统计学意义(P<0.01)。结论动脉硬化检测仪可以预测HDCP;对baPWV增高的孕妇给予干预治疗能降低HDCP的发病率。Objective To discuss the value of arteriosclerosis detector utilized in the prediction and prevention of hypertensive disorder complicating pregnancy（HDCP）. Methods With the arteri- osclerosis detector manufactured by Colin company in Japan, monitor the brachial-ankle pulse wave velocity （baPWV） of 500 pregnant women and 100 fertile women. The 225 case of pregnant women with increased baPWV were randomly divided into intervention group（115 cases） and control group （ 110 cases）. Separately compare the incidence of HDCP among the two groups with that of pregnant women with normal baPWV. Results The number of baPWV increased cases among pregnant women was more than fertile women and the difference was statistically significant（ P 〈 0. 01 ）. The incidence of HDCP was 7.83% in intervention group, 25.45% in control group and 5.82% among pregnant women with normal baPWV. The incidence of HDCP in intervention group was significantly reduced if compared with that of control group and the difference shows statistical significance（ P 〈 0.01 ）. Conclusion We could apply the arteriosclerosis detector in the prediction of HDCP; The intervention treatment for pregnant women with increased baPWV can reduce the incidence of HDCP.

关 键 词：妊娠期高血压疾病 脉搏波 预测 干预 

分 类 号：R544.1[医药卫生—心血管疾病]