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目的探讨妊娠期高血压疾病(HDCP)患者的年龄、血压、蛋白尿、水肿、红细胞压积与眼底改变的关系。方法对540例HDCP患者的临床资料进行回顾性分析。结果 540例HDCP患者眼底正常258例(47.8%),眼底有改变282例(52.2%),其中Ⅰ期改变148例(52.5%),Ⅱ期改变98例(34.7%),Ⅲ期改变36例(12.8%),与高血压、蛋白尿、水肿、红细胞压积存在着正相关性(P<0.01)。结论通过对眼底改变的检查能够客观准确评价病情,可作为HDCP诊断、治疗及判断预后的依据。
Objective To investigate the relationship between age, blood pressure, proteinuria, edema, hematocrit and ocular fundus in patients with HDCP. Methods The clinical data of 540 HDCP patients were retrospectively analyzed. Results Of the 540 patients with HDCP, 258 (47.8%) had normal fundus and 282 (52.2%) had changed fundus, including 148 cases (52.5%) in stage Ⅰ, 98 cases (34.7%) in stage Ⅱ and 36 (12.8%) were positively correlated with hypertension, proteinuria, edema and hematocrit (P <0.01). Conclusion The examination of the fundus changes can objectively and accurately evaluate the condition and can be used as the basis for the diagnosis, treatment and prognosis of HDCP.