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硝苯地平联合维生素D在子痫前期患者中的应用效果

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目的 探究采用硝苯地平缓释片联合维生素D滴剂子痫前期患者治疗的临床效果.方法 前瞻性选取2021年1月至2023年1月濮阳市人民医院收治的子痫前期患者作为研究对象,按照随机数字表法分为对照组和研究组.对照组接受硝苯地平缓释片治疗,研究组在对照组基础上联合维生素D滴剂治疗.比较两组治疗效果、血压水平(舒张压、收缩压)、24 h尿蛋白定量、氧化应激指标[过氧化氢酶(CAT)、丙二醛(MDA)、超氧化物歧化酶(SOD)]及不良反应发生情况.结果 研究组治疗总有效率高于对照组(P<0.05).治疗后,研究组收缩压、舒张压及24 h尿蛋白定量低于治疗前,且低于对照组(P<0.05);研究组CAT、SOD水平高于治疗前,且高于对照组,MDA水平低于治疗前,且对于对照组(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).结论 硝苯地平缓释片联合维生素D滴剂可有效提高子痫前期患者的临床治疗效果,有助于降低患者血压和24 h尿蛋白定量水平,改善氧化应激反应程度.
Application Effects of Nifedipine Combined with Vitamin D in the Treatment of Preeclampsia Patients
Objective To explore the clinical therapeutic effect of nifedipine sustained-release tablets combined with vitamin D drops in patients with preeclampsia.Methods Patients with preeclampsia in Puyang People's Hospital from January 2021 to January 2023 were prospectively selected as the research objects and divided into control group and study group according to the random number table method.The control group was treated with nifedipine sustained-release tablets,while the study group was treated with vitamin D drops on the basis of the control group.The treatment effect,blood pressure level[diastolic blood pressure,systolic blood pressure],24-hour urine protein quantitative level,oxidative stress indicators[catalase(CAT),malondialdehyde(MDA),superoxide dismutase(SOD)]and adverse reactions were compared between the two groups.Results The total effective rate of the study group was higher than that of the control group(P<0.05).After treatment,the systolic blood pressure,diastolic blood pressure,and 24-hour urine protein quantification in the study group were lower than before treatment and the control group(P<0.05).The levels of CAT and SOD in the study group were higher than before treatment and the control group,while the level of MDA was lower than before treatment and the control group(P<0.05).There was no statistical significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The combination of nifedipine sustained-release tablets and vitamin D drops can effectively improve the clinical treatment effect of patients with preeclampsia,help reduce patients'blood pressure and 24-hour urine protein quantitative levels,and improve the degree of oxidative stress response.

preeclampsianifedipine sustained-release tabletsvitamin D dropsoxidative stress responseblood pressure

马艳培

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濮阳市人民医院产科,河南濮阳 457000

子痫前期 硝苯地平缓释片 维生素D滴剂 氧化应激反应 血压

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(7)
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