摘要
目的分析在妊娠高血压并发胎盘早剥(PA)中硫酸镁辅助治疗的效果。方法筛选南阳市中心医院2021年10月至2023年10月入院的86例妊娠高血压并发PA患者作为研究对象。遵循随机抽样法分组,对照组(n=43)以常规治疗,研究组(n=43)在常规治疗的基础上联合硫酸镁治疗,比较产妇血压、血液流变学指标、血肌酐、血尿酸、血尿素氮水平以及分娩情况。结果治疗前,两组血压水平比较差异无统计学意义(P>0.05);治疗后,研究组血压水平低于对照组,差异具有统计学意义(P<0.05)。治疗前,两组血液流变学指标对比差异无统计学意义(P>0.05),治疗后,研究组血液流变学指标低于对照组,差异具有统计学意义(P<0.05)。治疗前,两组血肌酐、血尿酸、血尿素氮水平对比差异无统计学意义(P>0.05);治疗后,研究组血肌酐、血尿酸、血尿素氮水平低于对照组,差异具有统计学意义(P<0.05)。研究组顺产分娩率高于对照组,剖宫产率低于对照组,差异具有统计学意义(P<0.05);两组死胎、死产情况比较,差异无统计学意义(P>0.05)。结论在妊娠高血压并发PA中硫酸镁辅助治疗效果显著,值得应用。
Objective To analyze the effect of magnesium sulfate as an adjunctive treatment in pregnancy-induced hypertension complicated with placental abruption(PA).Methods A total of 86 patients with Pregnancy-induced hypertension complicated with PA admitted to Nanyang Central Hospital from October 2021 to October 2023 were selected as research subjects.They were randomly divided into two groups:the control group(n=43)received conventional treatment,while the study group(n=43)received magnesium sulfate in addition to conventional treatment.The maternal blood pressure,hemorheological indicators,serum creatinine,serum uric acid,blood urea nitrogen levels,and delivery outcomes were compared between the two groups.Results Before treatment,there was no statistically significant difference in blood pressure levels between the two groups(P>0.05).After treatment,the blood pressure levels in the study group were lower than those in the control group,with a statistically significant difference(P<0.05).Before treatment,there was no statistically significant difference in hemorheological indicators between the two groups(P>0.05).After treatment,the hemorheological indicators in the study group were lower than those in the control group,with a statistically significant difference(P<0.05).Before treatment,there was no statistically significant difference in serum creatinine,serum uric acid,and blood urea nitrogen levels between the two groups(P>0.05).After treatment,the serum creatinine,serum uric acid,and blood urea nitrogen levels in the study group were lower than those in the control group,with a statistically significant difference(P<0.05).The rate of vaginal delivery in the study group was higher than that in the control group,and the rate of cesarean section was lower than that in the control group,with a statistically significant difference(P<0.05).There was no statistically significant difference in the incidence of stillbirth and neonatal death between the two groups(P>0.05).Conclusion Magnesium sulfate as an adjunctive trea
作者
闫宁
YAN Ning(Department of Obstetrics,Nanyang Central Hospital,Nanyang Henan 473000,China)
出处
《临床研究》
2024年第9期24-26,共3页
Clinical Research
关键词
妊娠高血压
胎盘早剥
硫酸镁
辅助治疗
pregnancy-induced hypertension
placental abruption
magnesium sulfate
adjunctive treatment
