资源描述：
《三联药物对妊娠期高血压的治疗效果观察-妇产医学论文.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、三联药物对妊娠期高血压的治疗效果观察■妇产医学论文三联药物对妊娠期高血压的治疗效果观察谢莉莉安徽省淮南市妇幼保健院,安徽淮南232007［摘要］目的探讨硝枭地平、酚妥拉明和硫酸镁三联用药治疗妊娠期高血压的临床疗效及对妊娠结局的影响。方法将我院收治的90例妊娠高血压患者随机分成对照组和观察组。观察组患者给予硫酸镁治疗，对照组给予硝菜地平、酚妥拉明和硫酸镁治疗,比较两组的临床疗效和妊娠结局。结果观察组和对照组的临床总有效率分别为92.31%和74.36%。两组比较，差异有统计学意义(P<0.05)。与治疗前比较，两组治疗后的平均动
2、脉压均明显降低(P<0.05)(P<0.01),且观察组治疗后平均动脉压明显低于对照组(P<0.05)，观察组的早产率、胎儿窘迫、新生儿窒息的发生率明显低于对照组(PV0.05L结论硝菜地平、酚妥抗明和硫酸镁三联用药治疗妊娠期高血压可明显降低患者血压，临床疗效显著,妊娠结局良好,并发症少，值得临床推广应用。［关键词妊娠高血压；硝菜地平；)妥拉明；硫酸镁；妊娠结局［中图分类号］R714.264［文献标识码］A［文章编号］1672-5654(2014)11(a)-0032-03Theobservationofcurativeeff
3、ectcuringpregnancyinducedhypertensionsyndromebymagnesium,phentolaminesulfateandnifedipine.XIELiliHuaiNanCityandChildHealthHospital,Huainan232007zChina[Abstract]ObjectiveToinvestigatetheclinicalefficacyofinducedhypertensionsyndrome.Methods90patientswithpregnancy-indu
4、cedhypertensionsyndromewererandomlydividedintothecontrolgroupandtheobservationgroup,with45casesineachgroup.Patientsoftheobservationgroupweretreatedwithmagnesiumsulfate,whilepatientsofthecontrolgroupweregivenrdfedipine,phentolamineandmagnesiumsulfate,andchangesinbloo
5、dpressureandpregnancyoutcomeswerecomparedbeforeandaftertreatment.ResultsThetotalclinicaleffectiverateoftheobservationgroupandthecontrolgroupwere92.31%and74.36%respectively,andtherewasstatisticalsignificance(Pv0.05),Aftertreatment,Themeanarterialbloodpressurereduceds
6、ignificantlycomparedwithpre-treatment(P<0.05),(P<0.01)zandtheseoftheobservationgroupweresign讦icantlylowerthantheobservationgroupaftertreatment(P<0.05).Ratesofcesareansection,prematuredelivery,postpartumhemorrhage,placentalabruption,andhowfetallowerthanthecontrolgrou
7、p(P<0.05).ConclusionN讦edipine,phentolamineandmagnesiumsulfatecansignificantlyreducethepatientacute;sbloodpressureandclvineproteinlevels,whichiseffectiveintreatmentofpregnancy-inducedhypertension,ofgoodpregnancyoutcomesandfewercomplications,andworthyofclinicalapplica
8、tion.[Keywords]Pregnancyinducedhypertension;Nifedipine;Phentolamine;Magnesiumsulfite;Pregnancyoutcomes妊娠期高血压疾病是妊娠与血压升高并存的一组疾病,发生率的5%~12%。严
