[1]高晨明,张 蕊,黑璐宁.妊娠高血压综合征的眼底病变与病情的关系[J].医学信息,2021,34(22):66-68.[doi:10.3969/j.issn.1006-1959.2021.22.019]
　GAO Chen-ming,ZHANG Rui,HEI Lu-ning.Relationship Between Fundus Lesions and Pregnancy Induced Hypertension Syndrome[J].Medical Information,2021,34(22):66-68.[doi:10.3969/j.issn.1006-1959.2021.22.019]
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妊娠高血压综合征的眼底病变与病情的关系()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年22期
页码:
66-68
栏目:
论著
出版日期:
2021-11-15

文章信息/Info

Title:
Relationship Between Fundus Lesions and Pregnancy Induced Hypertension Syndrome
文章编号:
1006-1959（2021）22-0066-03
作者:
高晨明; 张 蕊; 黑璐宁
（天津市第一中心医院眼科，天津 300192）
Author(s):
GAO Chen-ming; ZHANG Rui; HEI Lu-ning
(Department of Ophthalmology,Tianjin First Central Hospital,Tianjin 300192,China)
关键词:
妊娠高血压综合征; 眼底病变; 尿蛋白水平
Keywords:
Pregnancy induced hypertension syndrome; Fundus lesions; Urinary protein level
分类号:
R714.24+6
DOI:
10.3969/j.issn.1006-1959.2021.22.019
文献标志码:
A
摘要:
目的 研究妊娠高血压综合征的眼底病变与病情的关系。方法 收集2018年3月-2019年10月天津市第一中心医院诊治的163例妊娠高血压综合征患者临床资料，均进行眼底检测，观察眼底病变程度与妊娠高血压综合征分期、平均动脉压水平、尿蛋白水平以及并发症的相关性以及妊娠高血压综合征预后与眼底病变的关系。结果 妊娠高血压综合征患者眼底病变发生率为92.67%。不同分期、平均动脉压水平、蛋白尿水平妊娠高血压综合征患者眼底病变发生率比较，差异有统计学意义（P＜0.05）；眼底正常、Ⅰ期眼底病变妊娠高血压综合征患者早产发生率均低于Ⅱ期、Ⅲ期眼底病变者，差异有统计学意义（P＜0.05）；眼底正常、Ⅰ期眼底病变妊娠高血压综合征患者胎盘早剖、产后出血发生率均低于Ⅱ期、Ⅲ期眼底病变者，但差异无统计学意义（P＞0.05）；分娩结束后，妊娠高血压综合征患者眼底病变可逐渐恢复。结论 妊娠高血压综合征眼底病变对其病情具有重要的预测价值，可通过动态观察眼底病变，了解妊娠高血压综合征患者分期、平均动脉压水平、尿蛋白水平以及并发症发生情况，为临床选择合适的干预措施和分娩方式提供参考依据，最大化确保母婴安全。
Abstract:
Objective To study the relationship between fundus lesions and condition of pregnancy induced hypertension syndrome.Methods The clinical data of 163 patients with gestational hypertension syndrome treated in Tianjin First Central Hospital from March 2018 to October 2019 were collected. Fundus examination was performed to observe the correlation between the degree of fundus lesions and the stage of gestational hypertension syndrome, mean arterial pressure level, urinary protein level and complications, and the relationship between the prognosis of gestational hypertension syndrome and fundus lesions.Results The incidence of fundus lesions in patients with pregnancy induced hypertension syndrome was 92.67%. There were significant differences in the incidence of fundus lesions among patients with pregnancy induced hypertension syndrome at different stages, mean arterial pressure levels and proteinuria levels (P<0.05). The incidence of premature delivery in patients with normal fundus and stage Ⅰ fundus lesions was lower than that in patients with stage Ⅱ and stage Ⅲ fundus lesions, and the difference was statistically significant (P<0.05); while the incidences of placental early dissection and postpartum hemorrhage in patients with pregnancy induced hypertension syndrome with normal fundus and stage Ⅰ fundus lesions were lower than those in patients with stage Ⅱ and stage Ⅲ fundus lesions, but the difference was not statistically significant (P>0.05). After delivery, fundus lesions in patients with pregnancy-induced hypertension syndrome could gradually recover.Conclusion Fundus lesions of pregnancy induced hypertension syndrome have important predictive value for its condition. Through dynamic observation of fundus lesions, which can understand the stage, mean arterial pressure level, urinary protein level and complications of patients with pregnancy induced hypertension syndrome, so as to provide reference for clinical selection of appropriate intervention measures and delivery methods, and maximize the safety of mother and infant.

参考文献/References:

[1]黄初梅,杨建东.妊娠高血压视网膜病变的影响因素分析及对母婴妊娠结局的影响[J].国际眼科杂志,2018,18(5):128-131.[2]王莹,黄晓波,鲁晓燕.分析妊娠期高血压疾病患者视网膜病变与其分类及围生儿预后的关系[J].航空航天医学杂志,2018,29(9):42-43.[3]吴彩云,杜婉丽,张瑜.EDI-OCT评估妊娠高血压疾病眼底病变中视网膜和脉络膜厚度的改变[J].国际眼科杂志,2018,18(5):167-170.[4]徐鑫,郑文凯,岑振考,等.妊娠高血压综合征性视网膜病变临床相关性分析[J].江西医药,2019,54(4):371-373.[5]华远锋,余锦强,柯峰.妊娠高血压综合征的眼底病变与病情相关性分析[J].海南医学,2017,28(5):826-828.[6]Kuehlewein L,Bansal M,Lenis TL,et al.Optical tomography angiography of type 1 neovascularization in age-related macular degeneration[J].Am J Ophthalmol,2015,160(4):739-748.e2. [7]乔建华.妊娠高血压综合征视网膜病变临床分析[J].中国卫生标准管理,2015,8(5):50-51. [8]刘元,李娜,党赛利,等.妊娠高血压综合征患者的眼底改变与病情的临床防治研究[J].中国地方病防治杂志,2017,32(12):1362-1363,1365.[9]Kaaja R,Gordin D.Health after pregnancy in the mother with diabetes[J].Womens Health (Lond Engl),2015,11(4):471-476.[10]黄楠,耿秀莲.妊娠高血压患者疾病监测与预防分析[J].实用预防医学,2014,21(7):853.[11]Angeli F,Angeli E,Verdecchia P.Novel electrocardiographic patterns for the prediction of hypertensive disorders of pregnancy from pathophysiology to practical implications[J].International Journal of Molecular Sciences,2015,16(8):18454-18473.[12]杨秋平,李艳华.妊娠期高血压预测及相应干预措施对妊娠期高血压综合征发生的影响[J].山东医药,2015(17):104-105.

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更新日期/Last Update: 1900-01-01