摘要
目的观察早期血压调控对重度子痫前期患者的影响,探讨对重度子痫前期患者进行血压调控的方法。方法 300例重度子痫前期患者分为对照组、早期血压调控组和晚期血压调控组,每组100例,对照组患者给予常规对症治疗,早期血压调控组患者在基础治疗的同时于妊娠中期(13～27周)给予拉贝洛尔治疗,晚期血压调控组在基础治疗的同时于妊娠晚期(>28周)给予拉贝洛尔治疗。观察3组患者血压调控、分娩和产后并发症发生情况。结果 3组患者治疗前血压比较差异均无统计学意义(P>0.05);分娩后3组患者血压显著低于治疗前(P<0.05);分娩后早期血压调控组患者血压显著低于晚期血压调控组和对照组(P<0.05);早期血压调控组患者自然分娩和阴道助产分娩率显著高于晚期血压调控组和对照组(P<0.05);早期血压调控组患者剖宫产率和产后并发症发生率显著低于晚期血压调控组和对照组(P<0.05)。结论对重度子痫前期患者进行早期血压调控,可有效调控患者产后血压,提高自然分娩率,减少并发症的发生。
Objective To observe the influence of early blood pressure regulation on patients with severe eclampsism, in order to explore the methods of blood pressure regulation for patients with severe eelampsism. Methods A total of 300 pa- tients with severe eclampsism were divided into control group, early blood pressure regulation group and late blood pressure reg- ulation group,with 100 cases in each group. The patients in control group were treated with routine symptomatic treatment; based on these, the patients in early blood pressure regulation group were treated with labetalol at the mid-pregnancy（ 13 -27 weeks） , the patients in late blood pressure regulation group were treated with labetalol at the late-pregnancy （ 〉 28 weeks）. The results of blood pressure regulation, childbirth, postpartum complication were observed in the three groups. Results There was no significant difference in blood pressure among the three groups before treatment（ P 〉 0. 05 ）. The blood pressure after partu- rition was significantly lower than that before treatment in the three groups （P 〈 0.05 ）. After parturition, the blood pressure in early blood pressure regulation group was significantly lower than that in late blood pressure regulation group and control group （ P 〈 0. 05 ）. The rats of spontaneous labor and vaginal delivery by midwifery in early blood pressure regulation group were sig- nificantly higher than those in late blood pressure regulation group and control group （P 〈 0. 05 ）. The rates of uterine-incision delivery and postpartum complication in early blood pressure regulation group were significantly lower than those in late blood pressure regulation group and control group （ P 〈 O. 05 ）. Conclusion Early blood pressure regulation for treating patients with severe eclampsism can effectively control the postpartum blood pressure of patients, improve the natural delivery rate, and re- duce complications.
出处
《新乡医学院学报》
CAS
2013年第9期755-756,758,共3页
Journal of Xinxiang Medical University
关键词
血压调控
重度子痫前期
妊娠结局
blood pressure regulation
severe eclampsism
pregnancy outcome
