妊娠期高血压疾病的降压启动时机——早期干预降低临床风险  

Timing of Antihypertensive Initiation in Gestational Hypertension——Early Intervention Can Reducec Clinical Risk

作　　者：黎娜[1] 程文立 LI Na;CHENG Wenli(Second Department of Health Care,China-Japan Friendship Hospital,Beijing 100029,China;Hypertension Center,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China)

机构地区：[1]中日友好医院保健二部,北京市100029 [2]首都医科大学附属北京安贞医院高血压中心,北京市100029

出　　处：《中国全科医学》2022年第30期3733-3738,共6页Chinese General Practice

摘　　要：妊娠高血压疾病(妊高症)是危害妊娠期女性健康及胎儿成长发育的严重不良因素,妊高症在我国妊娠期女性中的发病率为6%~8%,随着我国生育政策的放开,孕产妇平均年龄较前增大,超重、肥胖、糖尿病等风险因素普遍增加,妊高症的潜在风险较突出。在妊高症的诊断标准方面国际上专家的看法保持较为一致,≥140/90 mm Hg是诊断妊娠高血压的界定值,但妊高症应该何时启动降压治疗,所需的可作为证据的高水平研究较少。近年来各高血压学术组织对妊娠期女性合并慢性高血压的治疗控制目标值的建议也存在较大争议,各国各学会指南对于妊娠期高血压的治疗阈值和降压目标值分歧较大。本文就妊高症的危害、何时启动降压进行了详细阐述,同时对妊高症的早期干预效果及妊高症防治新方法进行分析,旨在为临床妊高症的降压治疗提供参考。Gestational hypertensionis a serious adverse factor that endangers the health of women during pregnancy and the growth and development of the fetus.The incidence of gestational hypertension in pregnant women in China is 6%to 8%,with the liberalization of the fertility policy in China,the average age of pregnant women has increased,and risk factors such as overweight,obesity,and diabetes have generally increased,the potential risk of gestational hypertension is more prominent among them.In the diagnosis of gestational hypertension,the opinions of international experts are relatively consistent that≥140/90 mm Hg is the threshold for diagnosing gestational hypertension,but there is still few high-level studies can be used as the evidence supporting the time to start antihypertensive treatment.In recent years,the recommendations of various hypertension academic organizations on the treatment and control target value of pregnant women with chronic hypertension have also been controversial.This article elaborates on the harm of gestational hypertension and the time to initiate blood pressure reduction,analyzes the early intervention effect of gestational hypertension and new methods for the prevention and treatment of gestational hypertension,in order to provide clinical evidence for the antihypertensive treatment of gestational hypertension.

关 键 词：高血压 妊娠性 妊娠高血压 降压 控制性 早期干预 

分 类 号：R714.246[医药卫生—妇产科学]