首页|左旋氨氯地平与拉贝洛尔联合治疗对妊娠期高血压患者血压水平及血流动力学的影响

左旋氨氯地平与拉贝洛尔联合治疗对妊娠期高血压患者血压水平及血流动力学的影响

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目的 探究左旋氨氯地平与拉贝洛尔联合治疗对妊娠期高血压(HDCP)患者血压水平及血流动力学的影响.方法 选取2020年5月—2023年5月成武县人民医院收治的72例HDCP患者为研究对象,按照随机数字表法将其分为对照组和观察组,各36例.对照组采用拉贝洛尔治疗,观察组在对照组基础上加用左旋氨氯地平治疗.对比两组临床疗效、血压水平、血流动力学、不良反应发生情况及不良妊娠结局.结果 观察组治疗总有效率为88.89%,高于对照组的69.44%,差异有统计学意义(P<0.05).治疗前,两组血压水平及血流动力学指标比较,组间差异无统计学意义(P>0.05);治疗后,观察组收缩压、舒张压水平均低于对照组,血浆黏度、红细胞比容、全血黏度及阻力指数均小于对照组,组间差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).观察组不良妊娠结局发生率为8.33%,低于对照组的30.56%,差异有统计学意义(P<0.05).结论 在针对HDCP患者的治疗中,应用左旋氨氯地平与拉贝洛尔可取得显著的疗效,可有助于降低血压水平及不良妊娠结局发生率,改善血流动力学,且较为安全.
Effect of Combined Treatment with Levamlodipine and Rabelol on Blood Pressure Levels and Hemodynamics in Patients with Gestational Hypertension
Objective To investigate the effects of combined treatment with levamlodipine and rabelol on blood pressure levels and hemodynamics in patients with gestational hypertension (HDCP). Methods A total of 72 patients with HDCP admitted to Chengwu County People's Hospital from May 2020 to May 2023 were selected as the research subjects. They were randomly divided into a control group and an observation group using a random number table method,with 36 patients in each group. The control group was treated with rabelol,while the observation group was treated with levamlodipine on this basis. The clinical efficacy,blood pressure levels,hemodynamics,occurrence of adverse reactions,and adverse pregnancy outcomes were compared between the two groups. Results The total effective rate of the observation group was 88.89%,which was higher than 69.44% of the control group,and the difference was statistically significant (P<0.05). Before treatment,there was no statistically significant difference in blood pressure levels and hemodynamics between the two groups (P>0.05);after treatment,the levels of systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group,and the plasma viscosity,hematocrit,whole blood viscosity,and resistance index were lower than those in the control group,and the differences between the groups were statistically significant (P<0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups (P>0.05). The incidence of adverse pregnancy outcomes in the observation group was 8.33%,which was lower than 30.56%in the control group,and the difference was statistically significant(P<0.05). Conclusion In the treatment of HDCP patients,the use of levamlodipine and labelol can achieve significant therapeutic effects,help reduce blood pressure levels and the incidence of adverse pregnancy outcomes,improve hemodynamics,and is relatively safe.

Pregnancy induced hypertensionL-AmlodipineLabelolBlood pressure levelHemodynamicsAdverse reactionsAdverse pregnancy outcomes

刘程燕

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成武县人民医院产科,山东菏泽 274200

妊娠期高血压 左旋氨氯地平 拉贝洛尔 血压水平 血流动力学 不良反应 不良妊娠结局

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(18)