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硝苯地平联合拉贝洛尔治疗妊娠期高血压的安全性评价

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目的 评价硝苯地平联合拉贝洛尔治疗妊娠期高血压的安全性.方法 随机选取2021年1月—2023年12月莆田市第一医院接诊的80例妊娠期高血压患者为研究对象,按照不同治疗药物分为对照组(n=40,拉贝洛尔治疗)和研究组(n=40,硝苯地平联合拉贝洛尔治疗),均持续用药1周.比较两组子宫动脉血流动力学、晨起血压水平、24 h尿蛋白定量、血液黏度,统计早产、产后出血、胎儿宫内窘迫、新生儿窒息的发生情况.结果 治疗后,子宫动脉血流动力学、晨起血压水平、24 h尿蛋白定量、血液黏度在两组中均较治疗前改善,且研究组优于对照组,差异均有统计学意义(P均<0.05).研究组不良妊娠结局总发生率为2.50%(1/40),低于对照组为47.50%(19/40),差异有统计学意义(χ2=21.600,P<0.05).结论 妊娠期高血压通过硝苯地平联合拉贝洛尔治疗的效果较为突出,改善患者血压状态,为胎儿发育提供良好的宫内环境,有利于改善妊娠结局.
Safety Evaluation of Nifedipine Combined with Labetalol in the Treatment of Gestational Hypertension
Objective To evaluate the safety of nifedipine combined with rabelol in the treatment of gestational hyper-tension.Methods A total of 80 patients with gestational hypertension who were admitted to the First Hospital of Putian City from January 2021 to December 2023 were randomly selected as the research objects.According to different treat-ment drugs,they were divided into control group(n=40,labetalol treatment)and study group(n=40,nifedipine com-bined with labetalol treatment).Both groups were treated for 1 week.The uterine artery hemodynamics,morning blood pressure level,24 h urine protein quantification,blood viscosity,the incidence of premature delivery,postpartum hem-orrhage,fetal distress,and neonatal asphyxia were compared between the two groups.Results After treatment,uterine artery hemodynamics,morning blood pressure level,24 h urine protein quantification and blood viscosity were im-proved in both groups compared with those before treatment,and the study group was better than the control group,the differences were statistically significant(all P<0.05).The total incidence of adverse pregnancy outcomes in the study group was 2.50%(1/40),which was lower than 47.50%(19/40)in the control group,and the difference was sta-tistically significant(χ2=21.600,P<0.05).Conclusion The effect of nifedipine combined with labetalol in the treat-ment of gestational hypertension is more prominent,which improves the blood pressure status of patients,provides a good intrauterine environment for fetal development,and is conducive to improving pregnancy outcomes.

Gestational,hypertensionNifedipineLabetalolEffectSecurity

刘赛宇、林丽仙

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莆田市第一医院妇产科,福建 莆田 351100

妊娠期高血压 硝苯地平 拉贝洛尔 效果 安全性

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(33)