论文部分内容阅读
目的:探讨动态血压监测与子痫前期患者围产期母儿不良事件的相关性。方法:选取2014年1月至2015年8月在我院分娩的子痫前期患者144例,其中84例发生母儿不良事件(A组),60例未发生母儿不良事件(B组)。另取正常单胎孕妇60例(C组)。结果:A、B、C 3组孕妇的24h平均血压、昼平均血压、夜平均血压、脉压、平均动脉压依次递减(P<0.05);A组与B组的血压负荷明显高于C组(P<0.05);A组的夜间收缩压下降率明显低于B、C组(P<0.05)。多元逻辑分析提示,发病孕周与夜收缩压负荷是发生母儿不良事件的独立危险因素。结论:对于发病孕周早、夜间收缩压负荷高的子痫前期患者,应加强孕期监护,避免或减少母儿不良事件的发生。
Objective: To investigate the relationship between ambulatory blood pressure monitoring and adverse events of perinatal maternal and infant in preeclampsia. Methods: A total of 144 patients with preeclampsia who delivered in our hospital from January 2014 to August 2015 were enrolled. Among them, 84 patients had adverse events of mother and child (group A) and 60 patients had no adverse events of mother and child (group B). Another 60 cases of normal singleton pregnant women (C group). Results: The mean blood pressure, day mean blood pressure, night mean blood pressure, pulse pressure and mean arterial pressure of pregnant women in groups A, B and C decreased gradually (P <0.05). The blood pressure load of group A and group B was significantly higher than that of group C (P <0.05). The decrease rate of nocturnal systolic pressure in group A was significantly lower than that in group B and C (P <0.05). Multivariate logical analysis suggested that gestational weeks and night systolic pressure load were independent risk factors for maternal and child adverse events. Conclusion: For patients with preeclampsia who have early gestational weeks and high systolic blood pressure at night, pregnancy monitoring should be strengthened to avoid or reduce the incidence of adverse events in both maternal and child.