如何防治妊娠期高血压？
<p style="white-space: normal; margin-top: 0px; margin-bottom: 15px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;">随着国家开放三胎政策，将有越来越多的高龄孕产妇出现，妊娠期高血压疾病患者屡见不鲜，作为重点保护对象的准妈妈总是能受到家庭及社会的特别关注，而妊高症是孕产妇母体和胎儿不良结局的重要原因，因此，加强对</span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(0, 82, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">妊高症的认识</strong></span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(0, 128, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">，<span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(0, 82, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;">预防及合理诊治</span></strong></span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;">妊高症显得尤为重要。</span><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></span></p><p><br/></p><section style="white-space: normal; margin: 0px 0px 15px; padding: 0px; max-width: 100%; box-sizing: border-box; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><img data-ratio="0.5892575039494471" src="https://bbs.zhuzhou.com/plugin.php?id=wcn_editor:wx_img&url=https://mmbiz.qpic.cn/mmbiz_jpg/bqqLfibkeIfS6nUaImNAZibvW9QY22iaC6YQibZzeoegyia7FibmA4dicdSEupPhSoezic6L20JfOAnRRE89meibibZJdTSg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" data-type="jpeg" data-w="633" _width="633px" class="" crossorigin="anonymous" alt="图片" data-fail="0" style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; height: auto !important; width: 633px !important; visibility: visible !important;"/></section><section style="white-space: normal; margin: 0px 8px; padding: 0px; max-width: 100%; box-sizing: border-box; color: rgb(51, 51, 51); font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: rgb(255, 255, 255); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; overflow-wrap: break-word !important;"><section data-support="96编辑器" data-style-id="24766" style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 10px 5px; padding: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; vertical-align: top; border-bottom: 12px solid rgb(209, 138, 138); border-left: 12px solid transparent; border-right: 0px solid transparent; height: 0px; width: 0px; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: 0px; padding: 0px 5px; max-width: 100%; box-sizing: border-box; display: inline-block; color: rgb(255, 255, 255); background-color: rgb(255, 170, 165); text-align: center; border-radius: 0px 0px 5px 5px; overflow-wrap: break-word !important;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span data-form="0" data-num="1" style="margin: 0px; padding: 0px; max-width: 100%; font-size: 26px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">01</strong></span></p></section><section style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; vertical-align: top; border-bottom: 12px solid rgb(209, 138, 138); border-left: 0px solid transparent; border-right: 12px solid transparent; height: 0px; width: 0px; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: -30px 0px 0px; padding: 3px 0px 3px 70px; max-width: 100%; box-sizing: border-box; background-color: rgb(255, 105, 105); overflow-wrap: break-word !important;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 2px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(255, 255, 255); font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;">什么是妊娠期高血压？</span></strong></p></section></section></section></section><p><br/></p><p style="white-space: normal; margin-top: 0px; margin-bottom: 15px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"> 国际妊娠期高血压研究学会（International Society for the Study of Hypertesion in Pregnancy，ISSHP）《妊娠期高血压疾病：国际妊娠期高血压研究学会分类、诊断和管理指南（2018）》指出，妊娠期高血压疾病（Hypertensive disorders of pregnancy，HDP）分为两大类：</span></p><p style="white-space: normal; margin-top: 0px; margin-bottom: 15px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"> 第一类</strong>为妊娠前诊断或妊娠20周之前新发现的高血压，包括慢性高血压（原发性和继发性）、白大衣高血压和隐匿性高血压；</span></p><p style="white-space: normal; margin-top: 0px; margin-bottom: 15px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;"> 第二类</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;">为妊娠20周后发生的高血压，包括一过性妊娠高血压、妊娠高血压和子痫前期（新发或由慢性高血压基础上演进而来）。</span></span></p><p style="white-space: normal; margin-top: 0px; margin-bottom: 15px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;"><img data-ratio="0.5892575039494471" src="https://bbs.zhuzhou.com/plugin.php?id=wcn_editor:wx_img&url=https://mmbiz.qpic.cn/mmbiz_jpg/bqqLfibkeIfS6nUaImNAZibvW9QY22iaC6YiccOdTemmxdE7XibbLxmh4feTEvYXTLSBibXsT015oINtCMFRRRPKmjFg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" data-type="jpeg" data-w="633" _width="633px" class="" crossorigin="anonymous" alt="图片" data-fail="0" style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; height: auto !important; width: 633px !important; visibility: visible !important;"/></span></span></p><p style="white-space: normal; margin-top: 0px; margin-bottom: 15px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"> 具体又分为以下<strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">6个亚型</strong>：</span></p><p style="white-space: normal; margin-top: 0px; margin-bottom: 15px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 82, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 0.544px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;">1. 慢性高血压</span></strong></span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 0.544px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;">：</span></strong></span><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;">指妊</span></span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;">娠前诊断或妊娠20周前确诊的高血压，通常在孕早期首次建册就诊时诊断，其与母胎不良结局相关。研究表明，约25%患有慢性高血压的女性将发展为子痫前期，在肾病患者中，其子痫前期发生率更高。因此建议妊娠期慢性高血压患者一经诊断，即应立即进行血常规、凝血功能、肝肾功能、尿蛋白、尿蛋白/肌酐比、肾脏超声检查（如果尿蛋白阳性），以此作为慢性高血压严重程度的评估依据。</span></p><p style="white-space: normal; margin-top: 0px; margin-bottom: 15px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 82, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 0.544px; text-align: left; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;">2. 白大衣高血压</span></strong></span><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 0.544px; text-align: left; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;">：</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;">指诊室血压监测升高（≥140/90mmHg），但在家</span></span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;">庭或工作时血压正常（＜135/85mmHg）。2014年Brown研究发现，白大衣高血压患者中，50%将发展为妊娠高血压，8%将发展为子痫前期。诊室血压升高的孕妇中，约有1/4为白大衣高血压，因此，ISSHP推荐采用24h动态血压监测或家庭血压监测以排除白大衣高血压。</span></span></p><p style="white-space: normal; margin-top: 0px; margin-bottom: 15px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 82, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 0.544px; text-align: left; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;">3. 隐匿性高血压</span></strong></span><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 0, 0); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 0.544px; text-align: left; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;">：</span></strong></span><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;">是高血压的特殊类型，临床上难以识别。建议：妊娠早期具有慢性肾病、左心室肥厚或视网膜病变等高血压靶器官受损征兆，但血压无明显升高时，应寻求隐匿性高血压的诊断。</span></span></p><p style="white-space: normal; margin-top: 0px; margin-bottom: 15px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 82, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 0.544px; text-align: left; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;">4. 一过性妊娠高血压</span></strong></span><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 0, 0); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 0.544px; text-align: left; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;">：</span></strong></span><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;">妊</span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;">娠中晚期新发的高血压，无需任何治疗即可缓解。但2012年Lee-Ann等研究发现，约有20%的一过性高血压会发展为妊娠高血压，另有约20%会发展为子痫前期，因此，孕期要加强一过性高血压孕妇的随访和监测。</span></span></p><p style="white-space: normal; margin-top: 0px; margin-bottom: 15px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><img data-ratio="0.5892575039494471" src="https://bbs.zhuzhou.com/plugin.php?id=wcn_editor:wx_img&url=https://mmbiz.qpic.cn/mmbiz_jpg/bqqLfibkeIfS6nUaImNAZibvW9QY22iaC6YwicHy2wXx6P4Xdv1xh1iaJ9MUdiab3X7sBsVAibCbsWoe90LTIUytXUAPQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" data-type="jpeg" data-w="633" _width="633px" class="" crossorigin="anonymous" alt="图片" data-fail="0" style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important; height: auto !important; width: 633px !important; visibility: visible !important;"/></p><p><br/></p><section style="white-space: normal; margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><p style="margin-top: 10px; margin-bottom: 10px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 82, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 0.544px; text-align: left; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;">5.妊娠期高血压</span></strong></span><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 0.544px; text-align: left; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 1px; color: rgb(1, 199, 251); box-sizing: border-box !important; overflow-wrap: break-word !important;">：</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;">指妊娠20周后血压升高但不伴有蛋白尿、脏器功能损害和胎儿生长受限，一般预后良好。目前已有多个研究表明，妊娠高血压具有远期心血管代谢疾病风险。因此对妊娠期高血压妇女加强产后随访和管理。据Saudan等和Davis等研究显示，约25%的妊娠期高血压可发展为子痫前期。</span></span></p><p style="margin-top: 10px; margin-bottom: 10px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 82, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 0.544px; text-align: left; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;">6.子痫前期</span></strong></span><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 0, 0); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 0.544px; text-align: left; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;">：</span></strong></span><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;">严重威胁母胎安全，全球范围内每年因子痫前期导致的胎儿和新生儿死亡超过50万例，孕产妇死亡超过7万例。子痫前期可以在没有任何预兆的情况下病情迅速恶化。</span></span></p></section><section data-support="96编辑器" data-style-id="27271" style="white-space: normal; margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><section style="margin: 0px 8px; padding: 0px; max-width: 100%; box-sizing: border-box; letter-spacing: 0.544px; text-align: left; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; overflow-wrap: break-word !important;"><section data-support="96编辑器" data-style-id="24766" style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 10px 5px; padding: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; vertical-align: top; border-bottom: 12px solid rgb(209, 138, 138); border-left: 12px solid transparent; border-right: 0px solid transparent; height: 0px; width: 0px; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: 0px; padding: 0px 5px; max-width: 100%; box-sizing: border-box; display: inline-block; color: rgb(255, 255, 255); background-color: rgb(255, 170, 165); text-align: center; border-radius: 0px 0px 5px 5px; overflow-wrap: break-word !important;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span data-form="0" data-num="2" style="margin: 0px; padding: 0px; max-width: 100%; font-size: 26px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">02</strong></span></p></section><section style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; vertical-align: top; border-bottom: 12px solid rgb(209, 138, 138); border-left: 0px solid transparent; border-right: 12px solid transparent; height: 0px; width: 0px; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: -30px 0px 0px; padding: 3px 0px 3px 70px; max-width: 100%; box-sizing: border-box; background-color: rgb(255, 105, 105); overflow-wrap: break-word !important;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 2px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(255, 255, 255); font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;">妊娠期高血压的防治</span></strong></p></section></section></section></section><section style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box; line-height: 2em; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); font-size: 16px; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"> </span></span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); font-size: 16px; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;">妊娠期高血压疾病的治疗目的是预防重度子痫前期和子痫的发生，降低母胎围产期病率和死亡率，改善母婴预后。</span><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section></section><p><br/></p><p style="white-space: normal; margin-top: 10px; margin-bottom: 10px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;"> 对于</span></span><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(0, 82, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">怀孕妇女，第一次产前检查时</strong></span></span><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;">即要明确既往有无高血压、肾病、糖尿病、抗磷脂综合征等病史，了解既往有无妊高症、蛋白尿等疾病，并要准确监测血压，以后每次产检均要监测血压，妊娠高血压疾病在妊娠期病情复杂，而且变化快，分娩和产后生理变化及各种不良刺激均可能导致病情加重，因此产前、产时和产后的病情进行密切评估和监测十分重要。及时合理干预、早防早治，避免不良临床结局发生。</span></span></p><p style="white-space: normal; margin-top: 10px; margin-bottom: 10px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;"> 对于</span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(0, 82, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">确诊有妊娠期高血压疾病的患者</strong></span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;">应注意休息，保持侧卧位，保证充足睡眠，必要时可睡前服用地西泮，保持镇静，限盐，适度解痉，必要时选用降压药物，密切监测母胎情况，适时终止妊娠。</span></span></p><p><br/></p><section style="white-space: normal; margin: 0px 0px 15px; padding: 0px; max-width: 100%; box-sizing: border-box; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; background-color: rgb(255, 255, 255); text-align: center; overflow-wrap: break-word !important;"><img data-ratio="0.5892575039494471" src="https://bbs.zhuzhou.com/plugin.php?id=wcn_editor:wx_img&url=https://mmbiz.qpic.cn/mmbiz_jpg/bqqLfibkeIfS6nUaImNAZibvW9QY22iaC6YP8dCvEHJhQe8XAPzS5qKDJQnXSKSuqjRgKamS2Ua2cXs4j00ZRzOuw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" data-type="jpeg" data-w="633" _width="633px" class="" crossorigin="anonymous" alt="图片" data-fail="0" style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; height: auto !important; width: 633px !important; visibility: visible !important;"/></section><p><br/></p><p style="white-space: normal; margin-top: 0px; margin-bottom: 15px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;"> 国际妊娠期高血压研究学会推荐妊娠期高血压疾病患者</span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(0, 82, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">降压阈值</strong></span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;">为诊室血压≥140/90mmHg或家庭血压≥135/85mmHg；血压目标管理值为舒张压85mmHg，收缩压110-140mmHg。</span></span></p><p style="white-space: normal; margin-top: 0px; margin-bottom: 15px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;"> 妊娠期</span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(0, 82, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">常用的口服降压药</strong><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">物</strong></span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; overflow-wrap: break-word !important;">有拉贝洛尔（I-A）、硝苯地平短效（I-A）或缓释片（I-B），禁止使用血管紧张素转换酶抑制剂（ACEI）和血管紧张素II受体拮抗剂（ARB），不推荐使用阿替洛尔和哌唑嗪，一般不使用利尿剂。对于口服药物血压控制不理想的患者可使用静脉用药，如拉贝洛尔（I-A）、尼卡地平（II-3B）、酚妥拉明（II-3B），发生子痫或子痫前期考虑使用硫酸镁防治，不常规选用硫酸镁做孕期降压药物。</span></span></p><p style="white-space: normal; margin-top: 0px; margin-bottom: 15px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"> 愿每个人都被温柔以待，愿每个妈妈都得到呵护，愿每个宝宝都健康来到这个美丽的世界！</span></p><p style="white-space: normal; margin-top: 0px; margin-bottom: 15px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; background-color: rgb(255, 255, 255); line-height: 2em; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(62, 62, 62); font-size: 16px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 12px; letter-spacing: 0.544px; text-align: right; background-color: rgb(255, 255, 255);">文案：刘平平</span></span></p><p><br/></p><link rel="stylesheet" href="//bbs.zhuzhou.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_z11" id="wcn_editor_css"/> 学习拉！恐怖
页:
[1]