孕中期24h动态血压监测联合24h尿白检测对妊高征的预测评估

Prediction and Evaluation of 24-hour Ambulatory Blood Pressure Monitoring Combined with 24-hour Urinalysis in the Second Trimester of Pregnancy on Pregnancy Induced Hypertension

目的探讨孕中期24 h动态血压监测联合24 h尿蛋白检测对妊高征结局的预测评估,。方法选取我院2013年11月至2014年11月建册的正常待产孕产妇300例,在孕中期（18～22周）行24 h动态血压监测联合24 h尿蛋白定量检测,并后期跟踪随访,根据妊娠结果分为妊娠期高血压组28例和对照组272。结果妊高征组和对照组相比,妊高征组24 h动态血压较对照组明显增高,差异有统计学意义（P〈0.05）。妊高征组24 h动态血压晨起收缩压及舒张压均高于对照组,昼夜收缩压及舒张压均高于对照组,24 h尿蛋白定量高于对照组。差异有统计学意义（P〈0.05）。

Objective To study 24 hours ambulatory blood pressure monitoring and 24 hours urine protein detection for the mid pregnancy to evaluate pregnancy induced hypertension. Method Select 100 of healthy normal pregnant women from November 2013 to November 2014 who were booked in out hospital. Monitor 24 hour ambulatory blood pressure and 24 hours urine protein the second trimester（18-22 weeks）, and with the late follow-up, according to pregnancy result, all the pregnant women were divided into gestational hypertension group and control group. Results The 24 hours of dynamic blood pressure of pregnancy induced hypertension group was significantly higher than that in control group, the difference was statistically significant.（P〈0.05）. The 24 hours systolic blood pressure and diastolic blood pressure in the patients with hypertension were higher than those in the control group, and diurnal diastolic blood pressure was higher than that of the control group, 24 hours urine protein was higher than that in the control group. The difference was significant（P〈0.05）.