国际妇产科学杂志 ›› 2020, Vol. 47 ›› Issue (4): 388-393.

• 综述 • 上一篇    下一篇

子痫前期与母体的远期疾病

贾艳菊,崔洪艳,丰华,陈叙   

  1. 300100  天津市中心妇产科医院/南开大学附属妇产医院产科,天津市人类发育与生殖调控重点实验室(贾艳菊,崔洪艳,陈叙);天津市蓟州区人民医院产科(丰华)
  • 收稿日期:2020-03-18 修回日期:2020-06-17 出版日期:2020-08-15 发布日期:2020-08-15
  • 通讯作者: 崔洪艳,E-mail:cuihy9828@163.com E-mail:cuihy9828@163.com

Pre-Eclampsia and Maternal Diseases Later in Life

JIA Yan-ju,CUI Hong-yan,FENG Hua,CHEN Xu   

  1. Department of Obstetrics,Tianjin Central Hospital of Gynecology Obstetrics/Affiliated Maternity Hospital of Nankai University, Tianjin Key Laboratory of Human Development and Reproductive Regulation,Tianjin 300100,China(JIA Yan-ju,CUI Hong-yan,CHEN Xu);Department of Obstetrics,The People′s Hospital of Jizhou District,Tianjin 301900,China(FENG Hua)
  • Received:2020-03-18 Revised:2020-06-17 Published:2020-08-15 Online:2020-08-15
  • Contact: CUI Hong-yan,E-mail:cuihy9828@163.com E-mail:cuihy9828@163.com

摘要: 子痫前期是妊娠期特发性疾病,影响2%~8%的妊娠,仍然是全世界孕产妇和围生期发病率和死亡率的主要原因,可导致高血压和多器官功能障碍,终止妊娠是唯一有效的治疗措施。尽管产后母体各项临床指标及血管病变会逐渐趋于正常,但这种短暂的、一过性的急性妊娠期并发症存在广泛母体血管内皮损伤和炎症免疫过度激活,越来越多的证据表明子痫前期对母体的影响不仅局限于妊娠及产褥期,多年后罹患子痫前期的妇女患心血管疾病、肾脏疾病、代谢综合征及糖尿病、甲状腺功能减退、血栓栓塞甚至认知障碍、恶性肿瘤等疾病的风险增加。综述子痫前期对母体远期疾病的影响,分析子痫前期是否可导致这些疾病的风险增加,从而有助于对有子痫前期病史的妇女建立合理、全面的产后管理方案,及时进行健康指导及干预,改善远期健康。

关键词: 先兆子痫;, 妊娠并发症;, 远期并发症;, 孕妇;, 心血管疾病

Abstract: Pre-eclampsia is an idiopathic disease during pregnancy, affecting 2%-8% of pregnancies, and remains the leading cause of maternal and perinatal morbidity and mortality worldwide, which can lead to hypertension and multiple organ dysfunction. So far, no effective treatment measure but termination of pregnancy. Although maternal clinical indicators and vascular lesions may gradually returns to normal after childbirth, but the transient, temporary acute gestational complication leads to vascular endothelial injury and inflammation immune overactivation. There is growing evidence that the maternal effects of pre-eclampsia are not limited to pregnancy and puerperium. Women with pre-eclampsia have an increased risk of cardiovascular disease, kidney disease, metabolic syndrome and diabetes, hypothyroidism and thromboembolism, as well as cognitive impairment and malignancies in many years. This paper reviews the impact of pre-eclampsia on long-term maternal disease and analyzes whether pre-eclampsia can lead to an increased risk of these diseases, so as to contribute to the establishment of a reasonable and comprehensive postpartum management program for women with a history of pre-eclampsia, timely health guidance and intervention, and the improvement of long-term health.

Key words: Pre-eclampsia;, Pregnancy complications;, Long-term complications;, Pregnant women;, Cardiovascular diseases