首页|硝苯地平片+硫酸镁治疗妊娠期高血压疾病的疗效及对患者血压和预后的影响

硝苯地平片+硫酸镁治疗妊娠期高血压疾病的疗效及对患者血压和预后的影响

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目的 探讨硝苯地平片结合硫酸镁治疗妊娠期高血压的效果及对患者血压和预后的影响.方法 简单随机选取2021年8月—2023年8月南京医科大学附属妇产医院(南京市妇幼保健院)收治的70例妊娠期高血压患者为研究对象,按随机数表法分成两组,每组35例.对照组给予硫酸镁治疗,观察组在对照组治疗基础上联用硝苯地平片治疗.对比两组患者的治疗效果.结果 观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05).治疗前两组血压水平比较,差异无统计学意义(P>0.05);治疗后两组血压水平均有改善,且观察组血压改善程度优于对照组,差异有统计学意义(P<0.05).在分娩方式对比中,观察组自然分娩率较对照组更高,差异有统计学意义(P<0.05);两组剖宫产率比较,差异无统计学意义(P>0.05).在新生儿并发症发生率对比中,观察组胎儿窘迫发生率较对照组更低,差异有统计学意义(P<0.05);两组新生儿窒息率和死亡率比较,差异无统计学意义(P均>0.05).结论 硝苯地平片联合硫酸镁可提高妊娠期高血压患者的治疗结果,可有效将患者血压水平予以降低,并提高自然分娩率,且安全性较高.
Efficacy of Nifedipine Tablets+Magnesium Sulfate in the Treatment of Hy-pertensive Disease in Pregnancy and Its Effect on Patients'Blood Pressure and Prognosis
Objective To investigate the efficacy of nifedipine tablets combined with magnesium sulfate in the treat-ment of hypertension in pregnancy and it effect on patients'blood pressure and prognosis.Methods 70 patients with hypertension in pregnancy who were admitted to the Maternity Hospital of Nanjing Medical University(Nanjing Mater-nal and Child Health Hospital)from August 2021 to August 2023 were randomly selected as the study objects and ran-domly divided into two groups using a random number table method,with 35 cases in each group.The control group was treated with magnesium sulfate,while the observation group was treated with nifedipine tablets in combination with the control group.The treatment effects of two groups of patients were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically sig-nificant(P<0.05).There was no statistically significant difference in blood pressure levels between the two groups be-fore treatment(P>0.05).After treatment,the blood pressure levels in both groups improved,and the observation group showed a better improvement in blood pressure than the control group,and the difference was statistically significant(P<0.05).In the comparison of delivery methods,the observation group had a higher natural delivery rate than the con-trol group,and the difference was statistically significant(P<0.05).The difference in cesarean section rates between the two groups was not statistically significant(P>0.05).In the comparison of neonatal complications rates,the rate of fetal distress in the observation group was lower than that in the control group,and the difference was statistically sig-nificant(P<0.05).There was no statistically significant difference in the rates of neonatal asphyxia rate and mortality rate between the two groups(both P>0.05).Conclusion Nifedipine tablets combined with magnesium sulfate can im-prove the therapeutic results of hypertensive patients in pregnancy,can effectively reduce the patient's blood pressure level,and improve the rate of spontaneous delivery,with a high degree of safety.

Hypertension in pregnancyNifedipine tabletsMagnesium sulfatePrognosis

刘菊菊

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南京医科大学附属妇产医院(南京市妇幼保健院)产科,江苏南京 210004

妊娠期高血压 硝苯地平片 硫酸镁 预后

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(4)
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