高度近视合并妊娠对产科管理的影响及研究进展  

Influence of high myopia during pregnancy on obstetric management and its research progress

作　　者：安闻生 蔺莉[1] An Wensheng;Lin Li(Department of Obstetrics and Gynecology,Peking University International Hospital,Beijing 102206,China)

机构地区：[1]北京大学国际医院妇产科,北京102206

出　　处：《中华围产医学杂志》2023年第1期78-80,共3页Chinese Journal of Perinatal Medicine

摘　　要：由于妊娠期体内代谢、激素以及血流动力学改变,孕妇视网膜和脉络膜结构会发生相应可逆性改变。而高度近视则会在此基础上进一步加重对妊娠期女性眼部病变状况的影响。现综述高度近视合并妊娠女性的临床特殊性,总结妊娠影响高度近视孕妇不良结局的潜在危险因素以及高度近视孕妇的产科和眼科综合管理策略,旨在指导临床实践。Structure of maternal retina and choroid would change reversibly with the changes in metabolism,hormone levels,and the hemodynamic state during pregnancy.However,high myopia could further aggravate the impact on the ocular lesions of pregnant women.This article describes the clinical characteristics of pregnant women with high myopia,summarizes the potential risk factors affecting adverse outcomes of high myopia during pregnancy,and reviews the current comprehensive obstetric and ophthalmic management strategies to guide the clinical practice.

关 键 词：近视 妊娠并发症 视网膜疾病 脉络膜疾病 妊娠结局 危险因素 

分 类 号：R714.25[医药卫生—妇产科学] R778.11[医药卫生—临床医学]