2023年美国预防临床服务指南工作组《妊娠期高血压疾病筛查》推荐声明解读  

Interpretation of the 2023 Recommendation Statement by the U.S.Preventive Services Task Force on the Screening for Hypertensive Disorders of Pregnancy

作　　者：张鹏[1] 刘力滴 杨梓钰[2] 杨荣 吕垚 周伊恒 方湘 雷弋[2,4] 代华[1,2] 廖晓阳[1,2,4] ZHANG Peng;LIU Lidi;YANG Ziyu;YANG Rong;LYU Yao;ZHOU Yiheng;FANG Xiang;LEI Yi;DAI Hua;LIAO Xiaoyang(Teaching&Research Section,General Practice Medical Center,West China Hospital,Sichuan University,Chengdu 610041,China;General Practice Ward/International Medical Center Ward,General Practice Medical Center,West China Hospital,Sichuan University,Chengdu 610041,China;Department of General Internal Medicine,Key Laboratory of Birth Defects and Related Diseases of Women and Children(Sichuan University),Ministry of Education,West China Second University Hospital,Sichuan University,Chengdu 610041,China;General Practice Medical Center and General Practice Research Institute,West China Hospital,Sichuan University,Chengdu)

机构地区：[1]四川大学华西医院全科医学中心全科医学教研室,四川省成都市610041 [2]四川大学华西医院全科医学中心全科特需病房,四川省成都市610041 [3]四川大学华西第二医院综合内科出生缺陷与相关妇儿疾病教育部重点实验室,四川省成都市610041 [4]四川大学华西医院全科医学中心全科医学研究室,四川省成都市610041

出　　处：《中国全科医学》2024年第29期3581-3586,共6页Chinese General Practice

基　　金：四川省科技厅软科学项目(2022JDR0325)。

摘　　要：妊娠期高血压疾病(HDP)是导致全球孕产妇及围生儿死亡的主要原因之一,其发病率和死亡率呈逐年增加趋势。2023年美国预防临床服务指南工作组通过评估最新研究证据并分析HDP筛查的获益和危害,更新发布了《妊娠期高血压疾病筛查》推荐声明(以下简称“推荐”)。该推荐与2017版推荐相比,进一步肯定了血压测量筛查HDP的重要性,肯定其具有实质性的净获益,建议在整个妊娠期测量血压以筛查HDP。本文基于《指南解读类文献报告规范的制订指南(RIGHTforINT)》,探讨分析该推荐的核心要点及其对我国全科医生的指导意义。Hypertensive disorders of pregnancy(HDP)is one of the leading causes of maternal and perinatal mortality worldwide,with increasing incidence and mortality year by year.In 2023,the U.S.Preventive Services Task Force(USPSTF)updated the recommendation statement on screening for hypertensive disorders of pregnancy by evaluating the latest research evidence and analyzing the benefits and harms of screening for HDP.The recommendation,compared with the 2017 version,further affirms the importance of blood pressure measurement in screening for HDP,affirms substantial net benefit,and recommends blood pressure measurement throughout pregnancy to screen for HDP.This article explores and analyzes the key points of this recommendation based on the RIGHT statement for introductions and interpretations of guidelines in Chinese(RIGHT for INT)and its implications for guiding general practitioners in China.

关 键 词：妊娠期高血压疾病 筛查 指南解读 美国预防临床服务指南工作组 

分 类 号：R714.246[医药卫生—妇产科学]