子痫前期产妇24h动态血压监测结果与不同妊娠结局之间的相关性研究  

A Correlation Study between 24-hour Dynamic Blood Pressure Monitoring Results and Different Pregnancy Outcomes in Preeclampsia Pregnant Women

作　　者：谭玉冰 邹穗怡 康娇仪 刘振燕 Tan Yubing;Zou Suiyi;Kang Jiaoyi;Liu Zhenyan(The Third Affi liated Hospital of Guangzhou Medical University,Shunde Longjiang Hospital,Foshan,Guangdong 528318)

机构地区：[1]广东医科大学附属第三医院·佛山市顺德区龙江医院,广东佛山528318

出　　处：《科技与健康》2024年第1期21-24,共4页Technology and Health

摘　　要：探讨子痫前期(preeclampsia,PE)产妇24h动态血压监测(ambulatory blood pressure monitoring,ABPM)结果与不同妊娠结局之间的相关性。选取2020年2月—2021年1月广东医科大学附属第三医院收治的80例PE产妇为研究对象,将产妇分为对照组和试验组,每组各40例。对照组未出现APO(adverse pregnancy outcomes,APO),试验组出现APO,比较两组产妇的血压参数、血压负荷值和血压昼夜波动节律。结果显示,试验组产妇dSBP、dDBP、nSBP、nDBP、24h SBP、24h DBP显著高于对照组产妇(P<0.05);试验组产妇dDBPL、dSBPL、nDBPL、nSBPL显著高于对照组产妇(P<0.05);试验组产妇夜间收缩压下降率、夜间舒张压下降率、夜间血压下降率显著高于对照组产妇(P<0.05)。研究发现,对PE产妇实施24hABPM,对评估不同妊娠结局有较高的临床价值。Exploring the correlation between 24-hour ambulatory blood pressure monitoring(ABPM)results and different pregnancy outcomes in women with preeclampsia(PE).80 PE pregnant women admitted to the Third Affiliated Hospital of Guangdong Medical University from February 2020 to January 2021 were selected as the research subjects.The pregnant women were divided into a control group and an experimental group,with 40 cases in each group.The control group did not show adverse predictive outcomes(APO),while the experimental group showed APO.The blood pressure parameters,blood pressure load values,and diurnal blood pressure fluctuation rhythms of the two groups of parturients were compared.The results showed that the experimental group had significantly higher levels of dSBP,dDBP,nSBP,nDBP,24-hour SBP,and 24-hour DBP compared to the control group(P<0.05);The levels of dDBPL,dSBPL,nDBPL,and nSBPL in the experimental group were significantly higher than those in the control group(P<0.05);The nighttime systolic blood pressure decrease rate,nighttime diastolic blood pressure decrease rate,and nighttime blood pressure decrease rate of the experimental group were significantly higher than those of the control group(P<0.05).Research has found that implementing 24-hour ABPM for PE pregnant women has high clinical value in evaluating different pregnancy outcomes.

关 键 词：子痫前期 动态血压监测 不良妊娠结局 血压负荷值 

分 类 号：R714.244[医药卫生—妇产科学]