无创动脉检测联合平均动脉压在高龄孕妇合并妊娠期高血压疾病中的应用

Application of noninvasive vascular diagnosis combined with MAP in pregnant women of advanced maternal age with hypertensive disorders in pregnancy

目的 探讨无创动脉硬化联合平均动脉压（MAP）检测高龄孕妇合并妊娠期高血压疾病的临床价值.方法 应用欧姆龙无创动脉硬化检测仪（BP-203RPE Ⅲ）对86例高龄孕妇检测同步臂踝脉搏波传导速度（baPWV）及MAP,按照baPWV数值分成动脉硬化检测异常组及正常组；另外,baPWV联合MAP分成阳性联合组及阴性联合组,分别对上述两组数据进行对比分析.结果 阳性联合组高龄孕妇临床妊娠期高血压疾病发生率为34.29％,明显高于阴性联合组（1.96％）,两组对比差异有统计学意义（P＜0.01）,也高于动脉检测异常组（27.5％）.结论 无创动脉硬化检测联合MAP能早期预测妊娠期高血压疾病的发生,从而为及早干预疾病进展提供了可能.

Objective To investigate the clinical value of noninvasive vascular diagnosis combined with mean arterial pressure （MAP） in pregnant women of advanced maternal age with hypertensive disorders in pregnancy.Methods Synchronous brachial-ankle pulse wave velocity （baPWV） and MAP were detected by the Omron arteriosclerosis detector （BP-203RPE Ⅲ） in 86 patients.According to the values of baPWV,the patients were divided into abnormal result group and normal result group; moreover,according to the detection results of baPWV combined with MAP,the patients were divided into positive combination group and negative combination group.The data were compared between the two groups and then analyzed.Results The rate of hypertensive disorders in pregnant women of advanced maternal age was markedly higher in the positive combination group than in the negative combination group （34.29% vs.1.96 %,P〈0.01） and in the abnormal result group （27.5%）.Conclusions Noninvasive vascular diagnosis combined with MAP can predict the occurrence of hypertensive disorders in pregnancy earlier,which provides possibility of early clinical intervention.