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目的探讨高原地区妊高征眼底改变情况。方法对240例高原地区妊高征患者采用直接眼底镜检查法进行眼底观察。将眼底检查结果与患者血压、尿蛋白、病程及血红蛋白含量、居住地海拨高度、居住高原时间进行比较分析。结果240例高原地区妊高征患者有眼底改变者220例(91·7%)。高原地区妊高征眼底改变及病变程度与患者血压、尿蛋白、病程及血红蛋白含量、居住地海拨高度、居住高原时间正相关。结论高原环境下易发生妊高征;高原地区妊高征眼底改变及病变程度与患者血压、尿蛋白、病程及血红蛋白含量、居住地海拨高度、居住高原时间正相关;高原地区医疗卫生条件有限,直接眼底镜检查简单易行,可以动态观察患者病情,为临床医生适时终止妊娠、及时采取相应的处理措施提供可靠的客观依据;高原地区孕妇加强孕期保健、移居低海拨区及晚期适当吸氧有助于预防妊高征的发生。
Objective To investigate the changes of ocular fundus of pregnancy-induced hypertension in the plateau. Methods 240 cases of PIH patients were examined by direct fundus examination. The results of fundus examination and patient blood pressure, urinary protein, duration and hemoglobin content, height of residence at a high altitude living comparative analysis. Results There were 220 cases (91.7%) of fundus changes in 240 patients with PIH. The change of fundus and degree of PIH in the plateau area were positively correlated with the blood pressure, urinary protein, duration of disease, hemoglobin content, altitude of residence, and the height of living plateau. Conclusions PIH is prone to occur in the plateau environment. The change of ocular fundus and the degree of PIH in the plateau are positively correlated with the blood pressure, urinary protein, duration of disease and hemoglobin, the altitude of residence, and the height of living plateau. The limited medical and health conditions in plateau , Direct funduscopic examination is simple and easy, you can dynamically observe the patient’s condition, timely termination of pregnancy for clinicians timely and take appropriate measures to provide a reliable and objective basis; pregnant women in highland areas to strengthen the health care during pregnancy, migrate to the low-dialing area and appropriate late absorption Oxygen helps prevent the occurrence of pregnancy-induced hypertension.