国际妇产科学杂志 ›› 2024, Vol. 51 ›› Issue (3): 312-316.doi: 10.12280/gjfckx.20240134

• 产科生理及产科疾病:综述 • 上一篇    下一篇

子痫前期预防、预测的现状与关注焦点

吴志韦, 林雪燕, 张雪芹, 杨梅琳()   

  1. 361000 厦门市妇幼保健院 厦门大学附属妇女儿童医院产科 厦门市产科重大疾病基础与临床研究重点实验室 厦门市围产医学临床研究中心
  • 收稿日期:2024-02-04 出版日期:2024-06-15 发布日期:2024-06-25
  • 通讯作者: 杨梅琳 E-mail:melin126@126.com
  • 作者简介:审校者
  • 基金资助:
    厦门市医疗卫生指导性项目(3502Z20199075)

The Prevention and Prediction of Pre-Eclampsia: Recent Advances and the Way Forward

WU Zhi-wei, LIN Xue-yan, ZHANG Xue-qin, YANG Mei-lin()   

  1. Xiamen Key Laboratory of Basic and Clinical Research on Major Obstetric Diseases, Xiamen Perinatal Medicine Clinical Research Center, Department of Obstetrics, Women and Children′s Hospital, Xiamen University, Xiamen 361000, Fujian Province, China
  • Received:2024-02-04 Published:2024-06-15 Online:2024-06-25
  • Contact: YANG Mei-lin E-mail:melin126@126.com

摘要:

子痫前期是导致孕产妇和围产儿死亡的重要原因之一,也影响母婴远期健康问题,是严重威胁母婴生命健康的重大公共卫生问题之一。梳理和分析阿司匹林在预防子痫前期方面的局限性及存在的争议,同时探讨其他药物在子痫前期防治中的作用;总结子痫前期在单胎和双胎妊娠中的预测方案,并着重强调三级医疗管理在子痫前期防治中的重要性。旨在进一步推动子痫前期高质量防治,提升妇幼健康水平。

关键词: 先兆子痫, 化学预防, 预测, 阿司匹林, 治疗

Abstract:

Pre-eclampsia is a leading cause of maternal and newborn mortality worldwide, impacting long-term health outcomes for both mother and child. We describe and analyze the limitations and controversies related to using aspirin for pre-eclampsia prevention, and explore the involvement of other medications in preventative strategies. Furthermore, this article examines the pre-eclampsia prediction scheme for both singleton and twin pregnancies, emphasizing the importance of tertiary referral systems in the prevention and treatment of pre-eclampsia, aiming to further promoting high-quality pre-eclampsia prevention and treatment and improve maternal and child health in China.

Key words: Pre-eclampsia, Chemoprevention, Forecasting, Aspirin, Therapy