从指南变迁看妊娠期高血压疾病的诊治  

Diagnosis and treatment of hypertensive disorders in pregnancy according to changes from guidelines

作　　者：杨宁[1] 李玉明[1] YANG Ning;LI Yu-ming(Heart Center,Logistics University of PAPF,Tianjin 300162,China)

机构地区：[1]武警后勤学院附属医院武警部队心血管病研究所,天津300162

出　　处：《中国实用内科杂志》2019年第1期23-26,共4页Chinese Journal of Practical Internal Medicine

基　　金：天津市科技重大专项资助课题(15ZXJZSY00010);天津市科技计划项目(16ZXMJSY00130)

摘　　要：妊娠期高血压疾病(hypertensive disorders in pregnancy,HDP)是妊娠与血压升高并存的一组疾病。加强孕期的监测和孕期血压的管理是预防子痫前期、改善母婴结局的关键。血压和蛋白尿是孕期监测的重点。指南推荐可用于孕期的降压药物包括甲基多巴、拉贝洛尔或硝苯地平等。子痫前期的早期筛查和干预是女性孕期心血管风险防范的关键之一。除药物干预之外,体重控制、生活方式干预、筛查和治疗阻塞性睡眠呼吸暂停等也不容忽视。Hypertensive disorders in pregnancy(HDP)is a group of diseases including high blood pressure during pregnancy. Strengthening clinical monitoring, risk factors assessment and early intervention would promote outcomes of women and their children. Blood pressure and proteinuria are key monitoring during pregnancy. Antihypertensive drugs recommended for pregnancy include methyldopa, labellol, or nifedipine. Early screening and intervention of preeclampsia is one of the keys to the prevention of cardiovascular risk during pregnancy. In addition to medication, weight control, screening and treatment of obstructive sleep apnea(OSA), lifestyle intervention and so on can not be ignored.

关 键 词：妊娠期高血压疾病 子痫前期 阿司匹林 阻塞性睡眠呼吸暂停综合征 

分 类 号：R544.1[医药卫生—心血管疾病]