血液流变学与妊娠期高血压疾病相关性的探讨

Exploration on the correlation between hemorheology and hypertensive disorder complicating pregnancy

目的:探讨血液流变学各指标与妊娠期高血压疾病的相关性及其在妊娠期高血压疾病中的预测价值。方法:随机抽取2007年2月～2008年2月在广西壮族自治区妇幼保健院就诊的820例血管参数检测阳性的孕妇进行血液流变学检测,并随访观察其妊娠期高血压疾病的发病情况。结果:①820例孕妇中发生妊娠期高血压疾病42例,其中血液流变学指标阳性37例,5例阴性;未发生妊娠期高血压疾病778例,其中225例血液流变学指标阳性,553例阴性。②妊娠期高血压疾病组的血液流变学指标高于非妊娠期高血压疾病组(P<0.05),重度子痫前期组的血液流变学指标高于轻度子痫前期组及非妊娠期高血压疾病组(P<0.05)。结论:血液流变学检测能较好的预测妊娠期高血压疾病的发生,并且该指标越大,往往预示着妊娠期高血压疾病越严重。

Objective：To explore the correlation between hemorheological indexes and hypertensive disorder complicating pregnancy（HDCP） and the predictive value in HDCP. Methods：820 pregnant women with positive vascular indexes were selected from the hospital from February 2007 to February 2008,then they received hemorheological detection,the incidence of HDCP was followed up and observed. Results：Among 820 pregnant women,42 women were found with HDCP,including 37 women with positive hemorheological indexes and 5 women with negative hemorheological indexes.Among 778 women without HDCP,225 women were found with positive hemorheological indexes and 553 women were found with negative hemorheological indexes.The hemorheological indexes in HDCP group were higher than those in non-HDCP group（P0.05）,and the hemorheological indexes in severe HDCP group were higher than those in mild HDCP group（P0.05）. Conclusion：Hemorheological detection can predict the occurrence of HDCP,and the higher the indexes are,the severer HDCP is.