妊娠期高血压生活方式干预预防指南

标题: 妊娠期高血压生活方式干预预防指南
title: A guideline for lifestyle interventions to prevent pregnancy induced hypertension
版本: 原创版
version: Original
分类: 标准指南
classification: Standard guideline
领域: 预防
field: Prevention
国家和地区: 中国
Country and region: China
指南使用者: 妇产科医生,护士,助产士、社区保健人员、孕妇及家属
Guide users: Gynecologists, nurses, midwives, community health workers, pregnant women and their families
证据分级方法: 在本指南的制订过程中,我们将运用GRADE工具对干预性系统评价中检索和综合的证据进行质量评价,形成并报告推荐意见,证据质量分为高、中、低以及极低。采用CERQual方法对质性研究系统评价进行证据评价,并对推荐意见进行分级。应用AMSTAR(Assessment of Multiple Systematic Reviews)对系统评价和Meta分析的方法学质量进行评价。应用AGREEII对纳入的指南进行质量评价。
Evidence grading method: During the development of this guide, we will use the grade tool to quality evaluation, formation and reporting advice on the intervention system evaluation, forming and reporting the recommended advice, the quality of the evidence is high, low, and very low. Evidence evaluations were used to evaluate quality research system using CERQUAL approach and graded the recommended opinion. The methodology quality of system evaluation and Meta analysis is evaluated by using AMSTAR (Assessment of Multiple Systematic Reviews). Apply AGREEII for quality evaluation of the included guidelines.
制定单位: 南方医科大学
Formulating unit: Southern Medical University
注册时间: 2021-09-27
Registration time:
注册编号: IPGRP-2021CN310
Registration number:
指南制订的目的: 妊娠期高血压是妊娠期的特发疾病,是导致孕产妇死亡的第二大原因。以妊娠20周后出现高血压、水肿、蛋白尿为主要表现的全身各器官和系统损害的妊娠期并发症。随着病情的发展会发生子痫前期、子痫。妊娠期高血压严重影响母婴健康,可导致产妇昏迷、抽搐、甚至死亡,胎盘早剥、产后出血和剖宫产率升高,可导致胎儿生长受限,甚至死亡等。预防和控制妊娠期高血压是改善母婴结局的重要干预措施。预防妊娠期高血压的生活方式干预包括健康教育、饮食调整、强化运动、心理指导等,国内外尚未有标准化的妊娠期高血压生活方式干预预防指南,因此积极推动该指南的制定对预防妊娠期高血压及改善母婴预后有重要作用。
Purpose of the guideline: Gestational hypertension is an idiopathic disease during pregnancy and the second leading cause of maternal death. Pregnancy complications with hypertension, edema and proteinuria as the main manifestations after 20 weeks of pregnancy. With the development of the disease, preeclampsia and eclampsia will occur. Pregnancy induced hypertension seriously affects the health of mothers and infants, which can lead to maternal coma, convulsions and even death, placental abruption, increased postpartum hemorrhage and cesarean section rate, which can lead to fetal growth restriction and even death. Prevention and control of gestational hypertension are important intervention measures to improve maternal and infant outcomes. Lifestyle interventions to prevent pregnancy induced hypertension include health education, diet adjustment, intensive exercise, psychological guidance, etc. There are no standardized guidelines for lifestyle interventions to prevent pregnancy induced hypertension in China and abroad. Therefore, actively promoting the formulation of the guide plays an important role in preventing pregnancy induced hypertension and improving the prognosis of mothers and infants.