首页|阿司匹林肠溶片辅助治疗妊娠期高血压疾病的应用及临床有效性评估

阿司匹林肠溶片辅助治疗妊娠期高血压疾病的应用及临床有效性评估

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目的 探讨阿司匹林肠溶片用于辅助治疗妊娠期高血压疾病的应用价值.方法 随机选取2022年6月—2023年6月兖州区人民医院收治的94例妊娠期高血压患者为研究对象,按抽签法分为参照组与研究组,各47例.参照组采用预先拉贝洛尔静脉滴注,后续口服盐酸拉贝洛尔片的方案,研究组则在参照组基础上联合阿司匹林肠溶片治疗.比较两组患者的血压、24 h尿蛋白定量水平、凝血功能情况、母婴结局.结果 治疗后,研究组患者的收缩压、舒张压、24 h尿蛋白定量,均比参照组低,差异有统计学意义(P均<0.05).研究组的纤维蛋白原、D-二聚体水平低于参照组,凝血酶原时间、活化部分凝血活酶时间和凝血酶时间均长于参照组,差异有统计学意义(P均<0.05).研究组的不良母婴结局发生率(8.51%)明显低于参照组(27.66%),差异有统计学意义(χ2=5.817,P<0.05).结论 阿司匹林肠溶片辅助治疗方案的应用,对提高妊娠期高血压疾病患者的治疗效果意义显著,还可降低患者血压水平、减轻其凝血功能异常程度、降低不良母婴结局发生率.
Application and Clinical Effectiveness Evaluation of Aspirin Enteric-coated Tablets in the Adjuvant Treatment of Hypertensive Diseases during Pregnancy
Objective To explore the total effective rate of aspirin enteric-coated tablets in the treatment of hyperten-sive diseases during pregnancy.Methods A total of 94 patients with pregnancy-induced hypertension who were admit-ted to Yanzhou District People's Hospital from June 2022 to June 2023 were randomly selected as the research ob-jects.According to the form of lottery,they were divided into the reference group and the study group,with 47 cases in each group.Labetalol was given in the form of intravenous infusion in advance and subsequently used oral labetalol hydrochloride tablets in the reference group.The study group was combined with aspirin enteric-coated tablets on the premise of the reference group scheme.Blood pressure,24 h urinary protein quantitative level,coagulation function,maternal and infant outcomes were compared between the two groups.Results After treatment,the systolic blood pres-sure,diastolic blood pressure and 24 h urinary protein quantitative indexes in the study group were all lower than those in the reference group,and the differences were significantly significant(all P<0.05).After treatment,the levels of fibrinogen and D-dimer in the study group were lower than those in the reference group,and the prothrombin time,activated partial thromboplastin time and thrombin time were all longer than those in the reference group,and the dif-ferences were significantly significant(all P<0.05).The incidence of adverse outcomes in the reference group(8.51%)was lower than the study group(27.66%),and the difference was significantly significant(χ2=5.817,P<0.05).Conclu-sion The application of aspirin enteric-coated tablet adjuvant therapy has significant significance in improving the therapeutic effect of hypertensive diseases in pregnancy.This medication regimen can also reduce the blood pressure level of patients,reduce the degree of coagulation dysfunction,and reduce the incidence of adverse maternal and in-fant outcomes.

Hypertension during pregnancyAspirin enteric-coated tabletsCoagulation functionMaternal and infant outcome

王加青

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兖州区人民医院产科,山东济宁 272100

妊娠期高血压 阿司匹林肠溶片 凝血功能 母婴结局

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(7)
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