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目的 :探讨平均动脉压测定阳性预测妊高征发生及预防性治疗的价值。方法 :对 97、98两年郑州市妇幼保健院围产门诊系统管理的 5 5 1例 2 2 - 2 6周孕妇进行平均动脉压 (mABP)测定 ,测出阳性 12 5例。对阳性组中 5 5例进行预防性治疗 ,包括指导饮食、左侧卧位、补充活性钙制剂 ,有水肿者加用维生素B1。结果 :阳性组妊高征发生率为 49.6 % ,阴性组发生率为 8.9% ,通过比较二者有明显差异 (P <0 .0 0 5 )。mABP阳性预防性治疗组妊高征发生率为 32 .73% ,未预防组发生率为 6 2 86 % ,通过比较二者有明显差异 (P <0 .0 0 5 )。结论 :平均动脉压测定可有效地预测妊高征的发生 ;对mABP测定阳性进行预防性治疗可明显降低妊高征的发生率。
Objective: To investigate the value of positive predictive value of mean arterial pressure (MAP) in predicting the occurrence of PIH and prophylactic treatment. Methods: The mean arterial pressure (mABP) was measured in 551 pregnant women aged 22 to 26 weeks who were managed by the department of perinatology and outpatient services in Zhengzhou Maternal and Child Health Care Hospital in 97 and 98 years. 125 cases were positive. Preventive treatment of 55 patients in the positive group, including the guidance of diet, left lateral decubitus, add active calcium preparations, those with edema plus vitamin B1. Results: The incidence of PIH was 49.6% in the positive group and 8.9% in the negative group, which was significantly different between the two groups (P <0.05). The incidence of PIH in mABP-positive prophylaxis group was 32.73%, while that in non-prophylaxis group was 62.86%. There was significant difference between the two groups (P <0.05). Conclusion: The mean arterial pressure measurement can effectively predict the occurrence of PIH. Preventive treatment of mABP positive can significantly reduce the incidence of PIH.