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关于妊娠与肾实质性高血压之间的关系,以前国内文献探讨较少,近年来不少学者的研究表明:有肾实质性高血压的孕妇,其胎儿的死亡率和母体的子痫前期毒血症的发生率,均显著地高于一般孕妇,鉴于肾脏病人在妊娠时常有高血压,故对文献扼要地作一复习,很有必要。孕妇的高血压标准,和正常非妊娠时有所不同。正常孕妇的收缩压和舒张压都较非妊娠时低,尤其是舒张压下降更明显,并在妊娠16～20周时最为显著,血压下降与妊娠时周围血管抵抗力降低有关。孕妇的正常舒张压平均约为75mmHg 左右,如舒张压≥85mmHg,一般即可以认为高血压;如舒张压≥100mmHg;则可以认为是严重高血压。
On the relationship between pregnancy and renal parenchymal hypertension, the previous domestic literature to explore less, in recent years, many scholars have shown that: pregnant women with renal parenchymal hypertension, their fetal mortality and maternal preeclampsia The incidence of sepsis were significantly higher than the average pregnant women, given kidney patients often have high blood pressure during pregnancy, so a brief review of the literature is necessary. Pregnancy-related hypertension is different from normal non-pregnancy. Systolic blood pressure and diastolic blood pressure in normal pregnant women were lower than those in non-pregnant women, especially the diastolic blood pressure was more obvious. The most significant difference was found between 16 and 20 weeks of gestation. The drop of blood pressure was related to the decrease of peripheral vascular resistance during pregnancy. Pregnant women with normal diastolic blood pressure is about 75mmHg about, such as diastolic blood pressure ≥ 85mmHg, generally can be considered high blood pressure; such as diastolic blood pressure ≥ 100mmHg; can be considered to be severe hypertension.