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妊娠性高血压视网膜变化的临床研究(英文) 被引量:4

Clinical study of retinal changes in pregnancy induced hypertension
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摘要 目的:研究妊娠性高血压(PIH)患者视网膜变化的患病率,视网膜变化与疾病严重程度的相关性。方法:横断面研究。共收集2014-12/2015-05妊娠性高血压患者100例。所有患者均行眼底检查。单眼或双眼眼底发生变化视为阳性。妊娠性高血压分级为轻度子痫前期(血压>140/90~160/90 mmHg),重度子痫前期(血压>160/90 mmHg)和子痫前期(重度子痫前期和抽搐)。结果:患者平均年龄为23.05(19~34)岁。妊娠期为28~41wk。其中62例初产妇以及38例经产妇。轻度子痫前期,重度子痫前期和子痫前期患者占比分别为62%,26%,12%。8例患者发生视网膜变化。观察得出:高血压性视网膜病变Ⅰ级(1%),Ⅱ级(0%),Ⅲ级(2%),Ⅳ级(2%),浆液性视网膜脱离(1%)和中心性浆液性脉络膜视网膜病变(2%)。视网膜变化与PIH严重程度呈正相关,有统计学意义(P=0.0001)。结论:8%的PIH患者视网膜发生变化,视网膜变化与PIH严重程度呈正相关。 AIM. To determine the prevalence of retinal changes in pregnancy induced hypertension (PIH) patients and to correlate between retinal changes and the severity ofdisease. METHODS: A cross-sectional observation study was conducted in 100 PIH patients over a period of 6mo ( Dec 2014-May 2015). Fundus examination was done in all patients. Fundus changes in right or left or both eyes, was taken as positive, The PIH graded as mild pre- eclampsia (BP 〉 140/90 to 160/90 mmHg), severe pre- eclampsia (BP〉160/90 mmHg) and eclampsia (severe pre- eclampsia and convulsions). ~ RESULTS: Mean age was 23.05y (19- 34y). Gestation period ranged from 28 to 41wk. Sixty-two were primi gravida and 38 were multigravida. 62%, 26%, 12% of patients had mild, severe pre- eclampsia, eclampsia respectively. Retinal changes were identified in 8 patients. Grade ], Grade U, Grade ]][, Grade IV hypertensive retinopathy (HTR), serous retinal detachment (SRD) and central serous chorioretinopathy (CSCR) observed in 1%, 0%, 2%, 2%, 1% and 2% of patients respectively. There was a statistically significant positive association of retinal changes and severity of the PIH ( P= 0.0001 ). CONCLUSION: Retinal changes were seen in 8% of patients with PIH and there is a positive correlation between retinal changes and severity of PIH.
出处 《国际眼科杂志》 CAS 2017年第6期1033-1036,共4页 International Eye Science
关键词 妊娠性高血压 视网膜变化 高血压性视网膜病变 pregnancy induced hypertension retinalchanges hypertensive retinopathy
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  • 1Noraihan MN;Sharda P;Jammal AB.Report of 50 cases of eclampsia,2005(04).
  • 2J. J. Kanski.Clinical ophthalmology: A systematic approach. . 1989
  • 3Grimes,DA,Ekbladh,LE,McCartney,WH.Cortical blindness in preeclampsia. International Journal of Gynecology and Obstetrics . 1980
  • 4Valluri S,Adelberg D,Curtis R,et al.Diagnostic indocyanine greenangiography in preeclampsia. American Journal of Ophthalmology . 1996
  • 5FG Cunningham,CO Fernandez,C Hernandez.Blindness associated with preeclampsia and eclampsia. American Journal of Obstetrics and Gynecology . 1995
  • 6Dieckmann,WJ. Toxemias of pregnancy . 1952
  • 7Tadin I,Boji L,Mimica M,et al.Hypertensive retinopathy and preeclampsia. Collegium Antropologicum . 2001
  • 8Apollon,KM,Robinson,JN,Schwartz,RB.Cortical blindness in severe preeclampsia: computed tomography, magnetic resonance imaging, and single-photonemission computed tomography findings. Obstetrics and Gynecology . 2000
  • 9Beck,RW,Gamel,JW,Willcourt,RJ,Berman,G.Acute ischemic optic neuropathy in severe preeclampsia. American Journal of Ophthalmology . 1980
  • 10MDHoward A Liebowitz and MDPrudence E Hall&#x00.Cortical blindness as a complication of eclampsia. Annals of Emergency Medicine . 1984

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