现代妇产科进展2025，Vol.34Issue(3)：191-195,5.DOI:10.13283/j.cnki.xdfckjz.2025.03.030
妊娠期高血压前期孕妇母儿转归及其影响因素
A prospective study on the maternal and fetal outcomes and influencing factors of pre-pregnancy hypertension in pregnant women
摘要
Abstract
Objective:To explore the maternal and neonatal outcomes of pregnant women with critical blood pressure during pregnancy and their influencing factors.Method:1059 pregnant women who underwent prenatal check ups at the First Affiliated Hospital of Nan-jing Medical University and Shuyang Maternal and Child Health Hospital from January 1 2022 to December 31 2022 were collected.Pregnant women were divided into a normal group(278 cases)and a critical hypertension group(781 cases)based on whether critical hypertension oc-curred during pregnancy.781 pregnant women with borderline hypertension were divided into a control group(618 cases)and an HDP group(163 cases)based on whether they developed ges-tational hypertension(HDP).Collect and compare clinical data of pregnant women and neonatal outcomes.Results:The age,BMI,parity,proportion of primiparous women,as well as SBP and DBP during pregnancy,were significantly higher in the critical hypertension group than those in the normal blood pressure group.The termination of pregnancy was earlier than those in the nor-mal blood pressure group,and the incidence of premature birth,fetal growth restriction(FGR),and HDP was significantly increased.The neonatal body weight was lower than in the normal blood pressure group,and the NICU referral rate was significantly higher than in the normal blood pressure group,with statistical significance(P<0.05).Pregnant women in the critical hy-pertension group who did not progress to HDP had significantly earlier gestational age with oral aspirin compared to the HDP group,and the gestational age at which critical hypertension oc-curred was significantly negatively correlated with HDP.Conclusion:Pregnant women with criti-cal hypertension during pregnancy have a significantly increased risk of developing HDP,and the earlier the onset of critical hypertension,the higher the risk of developing HDP in the mid-dle and late stages of pregnancy.Therefore,clinical doctors should pay attention to pregnant women with critical hypertension,appropriately increase the number of prenatal checkups in early pregnancy,diagnose and treat HDP as early as possible,and improve the maternal and neonatal prognosis of critical hypertension patients.关键词
临界高血压/妊娠期高血压疾病/母儿转归/影响因素Key words
Critical blood pressure/Pregnancy induced hypertension/Maternal and child outcomes/Influence factor分类
医药卫生引用本文复制引用
唐晓彤,陈文梅,吴丹,孙丽洲..妊娠期高血压前期孕妇母儿转归及其影响因素[J].现代妇产科进展,2025,34(3):191-195,5.基金项目
南京留学人员科技创新(No:147) （No:147）
南京市卫生科技发展专项资金(No:YKK21156) （No:YKK21156）
