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中华产科急救电子杂志 ›› 2021, Vol. 10 ›› Issue (04) : 201 -205. doi: 10.3877/cma.j.issn.2095-3259.2021.04.003

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再谈子痫前期的预测
储倩倩1, 张羽1,()   
  1. 1. 200127 上海交通大学医学院附属仁济医院妇产科
  • 收稿日期:2021-08-20 出版日期:2021-11-18
  • 通信作者: 张羽

The prediction of preeclampsia

Qianqian Chu1, Yu Zhang1()   

  • Received:2021-08-20 Published:2021-11-18
  • Corresponding author: Yu Zhang
引用本文:

储倩倩, 张羽. 再谈子痫前期的预测[J]. 中华产科急救电子杂志, 2021, 10(04): 201-205.

Qianqian Chu, Yu Zhang. The prediction of preeclampsia[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2021, 10(04): 201-205.

子痫前期的预测一直是产科学界关注的重点。目前国内外指南中根据孕妇既往病史及临床特征进行子痫前期风险评估和预测,并据此作为阿司匹林等预防性用药的依据。近年来人们对现有的预测指标和模型开展了大量临床研究,发现以孕妇特征、平均动脉压、子宫动脉搏动指数及血清胎盘生长因子等多指标联合子痫前期预测模型,预测的准确性提高。FullPIERS和PREP-S模型可用于预测子痫前期患者的不良妊娠结局,对于患者终止妊娠及转诊时机管理有重要意义。

The prediction of preeclampsia (PE) has always caught the eyes of obstetricians. In the present domestic and foreign guidelines, according to the previous medical history and clinical characteristics of pregnant women, the risk assessment and prediction of preeclampsia are carried out, and which are used as the basis of aspirin and other preventive drugs. Recently, a large number of clinical studies have been conducted on existing predictive indicators and models. It shows that the combined predictive model of preeclampsia based on maternal characteristics, mean arterial pressure, uterine artery pulse index and serum placental growth factor could improve the accuracy of prediction. FullPIERS and PREP-S models can be used to screen adverse pregnancy outcomes in PE patients, which is of great significance for the management of pregnancy termination and referral time.

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