心血管康复医学杂志2024,Vol.33Issue(1) :117-121.DOI:10.3969/j.issn.1008-0074.2024.01.27

心血管疾病对妊娠的影响

Effect of cardiovascular diseases on pregnancy

庞子璇 陈萱
心血管康复医学杂志2024,Vol.33Issue(1) :117-121.DOI:10.3969/j.issn.1008-0074.2024.01.27

心血管疾病对妊娠的影响

Effect of cardiovascular diseases on pregnancy

庞子璇 1陈萱1
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作者信息

  • 1. 哈尔滨医科大学附属第二医院,黑龙江 哈尔滨 150081
  • 折叠

摘要

妊娠期妇女体内血流动力学发生变化,心输出量增加50%,使心血管系统负担加重,一些原有的心血管疾病病情在妊娠期会进一步加重,非妊娠期潜在的心血管疾病会表现出来.高龄、肥胖、糖尿病等均是心血管疾病发生的危险因素,而这些因素在孕妇身上较非孕妇更为常见,因此心血管疾病在孕妇中的发生率也随之增高,使1%~4%的妊娠较正常妊娠变得更加复杂,也是导致孕产妇死亡和早产、死产等母儿不良结局的一个重要原因.妊娠期对疾病的治疗需要考虑到对胎儿的影响,所以在妊娠期对于心血管疾病的临床治疗变得更加复杂和困难.本文主要针对心血管疾病中的妊娠期高血压疾病、妊娠期糖尿病、围产期心肌病对妊娠的影响进行阐述.

Abstract

Hemodynamics changes in pregnant women,cardiac output increases by 50%,increasing the burden of cardiovascular system.It leads to further aggravation of original cardiovascular diseases during pregnancy,and non-pregnancy potential cardiovascular diseases will show up.Advanced age,obesity and diabetes etc.are risk factors of cardiovascular diseases,and they are more common in pregnant women than those non-pregnant,thus incidence rate of cardiovascular diseases increase in pregnant women consequently,making 1%~4%pregnancy more compli-cated than the normal pregnancy,which is also an important reason leading to pregnant woman death and adverse outcomes such as premature birth and stillbirth.Treatment during pregnancy should consider impact of fetus,there-fore its more complicated and difficult for clinical treatment of cardiovascular diseases during pregnancy.The pres-ent article mainly elaborates influence of cardiovascular diseases on pregnancy,including gestational hypertension,gestational diabetes and perinatal cardiomyopathy.

关键词

心血管疾病/妊娠/糖尿病

Key words

Cardiovascular diseases/Pregnancy/Diabetes mellitus

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出版年

2024
心血管康复医学杂志
福建省康复医学会 中国康复医学会

心血管康复医学杂志

CSTPCD
影响因子:1.157
ISSN:1008-0074
参考文献量41
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