[1]连亚楠,贺同强,乔 媛,等.子痫前期患者发生视网膜脱离危险因素分析[J].陕西医学杂志,2024,(6):793-796.[doi:DOI:10.3969/j.issn.1000-7377.2024.06.015]
　LIAN Yanan,HE Tongqiang,QIAO Yuan,et al.Analysis of risk factors for retinal detachment in patients with preeclampsia[J].,2024,(6):793-796.[doi:DOI:10.3969/j.issn.1000-7377.2024.06.015]
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子痫前期患者发生视网膜脱离危险因素分析
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2024年6期
页码:
793-796
栏目:
临床研究
出版日期:
2024-06-05

文章信息/Info

Title:
Analysis of risk factors for retinal detachment in patients with preeclampsia
作者:
连亚楠; 贺同强; 乔 媛; 吕艳香
(西北妇女儿童医院妇产科重症监护室,陕西 西安 710061)
Author(s):
LIAN Yanan; HE Tongqiang; QIAO Yuan; LYU Yanxiang
(Intensive Care Unit of Obstetrics and Gynecology,Northwest Women's and Children's Hospital,Xi'an 710061,China)
关键词:
子痫前期;  视网膜脱离;  孕周;  重度高血压;  血小板;  危险因素
Keywords:
Preeclampsia;  Retinal detachment;  Gestational age;  Severe hypertension;  Blood platelets;  Risk Factors
分类号:
R 714.25
DOI:
DOI:10.3969/j.issn.1000-7377.2024.06.015
文献标志码:
A
摘要:
目的:探讨子痫前期患者发生视网膜脱离(RD)的危险因素。方法:回顾性分析785例子痫前期患者临床资料,以发生RD的53例子痫前期患者为RD组,未发生RD的732例患者为非RD组。比较两组血常规、肝肾功能指标,以及子痫前期诊断孕周、入院时重度高血压情况及孕期体重增加量,分析RD发的危险因素。结果:RD组血小板计数、血清白蛋白水平低于非RD组,血尿素氮、血肌酐、血尿酸水平、入院时重度高血压比例高于非RD组,子痫前期诊断孕周早于非RD组(均P<0.05)。子痫前期诊断孕周<34周、入院时重度高血压以及血小板计数<150×109/L为子痫前期患者发生RD的危险因素(均P<0.05)。结论:子痫前期诊断孕周<34周、入院时重度高血压以及血小板计数<150×109/L为子痫前期患者发生RD的危险因素。
Abstract:
Objective:To investigate the risk factors of retinal detachment(RD)in patients with preeclampsia.Methods:The clinical data of 785 patients with preeclampsia were retrospectively analyzed,including 53 patients with RD(RD group)and 732 patients without RD(non-RD group).The routine blood test,liver and kidney function indexes,gestational age at diagnosis of preeclampsia,severe hypertension on admission,and weight gain during pregnancy were compared between the two groups to analyze the risk factors for RD.Results: Compared with the non-RD group,the RD group had significantly lower levels of platelet count and serum albumin,significantly higher levels of blood urea nitrogen,serum creatinine,and serum uric acid,a significantly higher proportion of patients with severe hypertension on admission,and a significantly earlier gestational age at diagnosis of preeclampsia(all P<0.05).Gestational age at diagnosis of preeclampsia <34 weeks,severe hypertension on admission and platelet count <150×109/L were risk factors for RD in patients with preeclampsia(all P<0.05).Conclusion:Gestational age at diagnosis of preeclampsia <34 weeks,severe hypertension on admission and platelet count <150×109/L are risk factors for RD in patients with preeclampsia.

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备注/Memo

备注/Memo:
基金项目:陕西省重点研发计划项目(2024SF-YBXM-230,2022SF-277)
更新日期/Last Update: 2024-06-05