早发型子痫前期孕妇解痉抗凝治疗的临床分析马瑶１贾红梅２陈斌３

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1、早发型子痫前期孕妇解痉抗凝治疗的临床分析马瑶1贾红梅2陈斌3马瑶1贾红梅2陈斌3北京市海淀区妇幼保健院产六区北京100080【摘要】A的探宂在早发型子痫前期孕妇的临床治疗屮解痉抗凝治疗的应用效果.方法选取2009年6月至2014年12月在我院治疗的早发型子痫前期孕妇210例，按照随机分组原则将患者分为对照组和治疗组分别30例、180例，其屮对照组患者采取常规的硫酸镁进行治疗,治疗组患者则在硫酸镁常规治疗的基础上采用低分子肝素进行治疗，对比两组患者的妊娠结局以及患者的血压变化情况.结果治疗组患者的胎盘早剥和剖宫产率显著低于对照组;治疗组对应

2、的新生儿窒息和胎儿窘迫病症发生率显著低于对照组新生儿;两组患者在治疗后其血压均有不同程度的下降，同时治疗组下降率相比对照组显著,差异显著具有统计意义(P<0.05).结论:在早发型子痫前期孕妇的病症控制屮解痉抗凝治疗能够显著改善患者的微循环情况，提升母婴分娩质量，值得在临床上推广应用.【关键词】早发型子痫前期；孕妇；解痉抗凝治疗；临床分析Early—onsetpreeclampsiawomenspasmolysisclinicalanalysisofanticoagulanttherapy【Abstract】Objective:Toexp

3、loretheclinicaltreatmentofearly—onsetpreeclampsiainpregnantwomeninspasmolysisandapplicationeffectofanticoagulanttherapy.Selectionmethods:inJune2009toDecember2014inourhospitaltreatmentofearly—onsetpreeclampsia,210casesofpregnantwomen,andinaccordancewiththeprincipleofrandom

4、izedpatientsdividedintocontrolgroupandtreatmentgroup(30cases,180casesrespectivel^amongthemthecontrolgrouppatientsadoptconventionalmagnesiumsulfatetreatment,thetreatmentgrouppatientsareinthemagnesiumsulfateonthebasisofroutinetherapywithlowmolecularheparintreatment,compared

5、twogroupsofpatientswithpregnancyoutcomes'andthepatient'sbloodpressurechanges.Results:thetreatmentgrouppatientswithplacentalabruptionandcesareansectionratewassigGnificantlylowerthanthecontrolgroup;Treatmentgroupcorrespondstotheincidenceofneonatalasphyxiaandfetaldistresssym

6、ptomssignificantlylowerthancontrolgroupinthenewborn;Twogroupsofpatientsaftertreatmentthebloodpressurereducedtosomeextent,atthesametimethantherateoftreatmentgroupdecreasedsignificantly,significantdifferencehasstatisticalsignificance(P<0.05).Conclusion:early—onsetpreeclamps

7、iainpregnantwomenindiseasecontrolspasmolysisanticoagulanttherapycansi【gKniefyicawnotrldysi】mprovethemicrocirculationofpatientsjmprovingthequalityofmaternalandchildbirth,worthyofpopularizationandapplicationinclinic.Eearly—onsetpreeclampsia;Pregnantwomen;Spasmolysisanticoag

8、ulanttherapy;Clinicalanalysis【中图分类号】R714•2【文献标识码】B【文章编号】1008—6315(2015)10—0416—01本研究对一段吋间内在我院治疗的