关键词: Aspirin Eclampsia Exercise and pregnancy High risk Preeclampsia Prevention

来  源:   DOI:10.1016/j.heliyon.2023.e14187   PDF(Pubmed)

Abstract:
UNASSIGNED: Preeclampsia is a very complex multisystem disorder characterized by mild to severe hypertension.
UNASSIGNED: PubMed and the Cochrane Library were searched from January 1, 2002 to March 31, 2022, with the search terms \"pre-eclampsia\" and \"hypertensive disorders in pregnancy\". We also look for guidelines from international societies and clinical specialty colleges and we focused on publications made after 2015.
UNASSIGNED: The primary issue associated with this physiopathology is a reduction in utero-placental perfusion and ischemia. Preeclampsia has a multifactorial genesis, its focus in prevention consists of the identification of high and moderate-risk clinical factors. The clinical manifestations of preeclampsia vary from asymptomatic to fatal complications for both the fetus and the mother. In severe cases, the mother may present renal, neurological, hepatic, or vascular disease. The main prevention strategy is the use of aspirin at low doses, started from the beginning to the end of the second trimester and maintained until the end of pregnancy.
UNASSIGNED: Preeclampsia is a multisystem disorder; we do not know how to predict it accurately. Acetylsalicylic acid at low doses to prevent a low percentage, especially in patients with far from term preeclampsia. There is evidence that exercising for at least 140 min per week reduces gestational hypertension and preeclampsia. Currently, the safest approach is the termination of pregnancy. It is necessary to improve the prediction and prevention of preeclampsia, in addition, better research is needed in the long-term postpartum follow-up.
摘要:
未经证实:先兆子痫是一种以轻度至重度高血压为特征的非常复杂的多系统疾病。
UNASSIGNED:PubMed和Cochrane图书馆于2002年1月1日至2022年3月31日进行了检索,检索词为“先兆子痫”和“妊娠期高血压疾病”。我们还寻求国际学会和临床专业学院的指南,我们专注于2015年以后的出版物。
UNASSIGNED:与这种病理生理学相关的主要问题是子宫胎盘灌注和缺血的减少。先兆子痫具有多因素成因,其预防重点包括识别高危和中危临床因素.先兆子痫的临床表现从无症状到胎儿和母亲的致命并发症不等。在严重的情况下,母亲可能会出现肾脏,神经学,肝,或血管疾病。主要的预防策略是使用低剂量的阿司匹林,从妊娠中期的开始到结束,并一直持续到妊娠结束。
UNASSIGNED:先兆子痫是一种多系统疾病;我们不知道如何准确预测它。乙酰水杨酸在低剂量,以防止低百分比,尤其是远未足月子痫前期的患者。有证据表明,每周运动至少140分钟可减少妊娠期高血压和先兆子痫。目前,最安全的方法是终止妊娠。有必要提高子痫前期的预测和预防,此外,在长期的产后随访中需要更好的研究。
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