动态血压多变量与妊娠期高血压疾病患者围生儿评分的相关性

Relationship between ambulatory blood pressure multi-parameters and Apgar score in patients with pregnancy-induced hypertension syndrome

目的:研究妊娠期高血压疾病患者动态血压的特点及与围生儿评分的关系.方法:对105例妊娠期高血压疾病患者晚孕期进行24h动态血压监测.结果:重度妊娠期高血压疾病患者24h平均收缩压、舒张压,日、夜平均收缩压、舒张压,收缩压、舒张压负荷均高于轻、中度妊娠期高血压疾病患者(P<0.05);轻度妊娠期高血压疾病患者舒张压变异率好于中、重度患者(P<0.005).重度患者生后1 min Apgar评分<8分者率比轻、中度者高(P<0.05).结论:轻度妊娠期高血压疾病患者血压大部分有昼夜节律变化,而中、重度患者昼夜节律变化不明显,籍此可合理科学的设计治疗方案.动态血压监测对妊娠期高血压疾病患者的诊断分度及制定个体化治疗有积极指导意义.

AIM： To investigate the ambulatory blood pressure multi-parameters and Apgar score changes of patients with pregnancy-induced hypertension syndrome （ PIH ）. METItODS： Ambulatory blood pressure was monitored 24 h a day in 105 cases of PIH. RESULTS： Both day and night mean blood pressure of severe PIH patients were higher than that of light and medial ones （P 〈 0.05 ）. The distolic variations of light PIH patients were better than that of medial and servere ones （ P 〈 0.05 ）. The occurrence rate of Apgar score 〈 8 in the severe PIH patients was higher than that in the light and medial ones. CONCLUSION： Most patients with the light PIH present cireadion rhythm, but most of the medial and severe PIH patients have no circadian rhythm. The reasonable treatment, plan can be performed according to that situations. Ambulatory blood pressure monitoring is helpful to classify the PIH diagnosis and makes the individualized treatment.