首页|硝苯地平联合硫酸镁对妊娠期高血压患者血管内皮功能及血液流变学的影响

硝苯地平联合硫酸镁对妊娠期高血压患者血管内皮功能及血液流变学的影响

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目的 探讨硝苯地平联合硫酸镁对妊娠期高血压患者血管内皮功能及血液流变学的影响。方法 选取2020年1月至2023年1月收治的90例妊娠期高血压患者,以随机数字表法将其分为对照组(45 例)和观察组(45例)。对照组采用硫酸镁治疗,观察组在对照组基础上加用硝苯地平治疗。比较两组的治疗效果。结果 观察组的治疗总有效率为95。56%,高于对照组的82。22%,差异具有统计学意义(P<0。05)。治疗后,观察组的收缩压(SBP)、舒张压(DBP)低于对照组,差异具有统计学意义(P<0。05)。治疗后,观察组的全血高切黏度(HBV)、全血低切黏度(LBV)、血浆黏度(PV)、纤维蛋白原(FIB)水平及红细胞刚性指数(HGX)低于对照组,差异具有统计学意义(P<0。05)。治疗后,观察组的内皮素-1(ET-1)水平低于对照组,一氧化氮(NO)水平高于对照组,差异具有统计学意义(P<0。05)。观察组的不良妊娠结局总发生率为 8。89%,低于对照组的 26。67%(P<0。05)。结论 硝苯地平联合硫酸镁治疗妊娠期高血压患者的效果显著,能降低血压,调节血液流变学,改善血管内皮功能,降低不良妊娠结局发生率。
Effects of nifedipine combined with magnesium sulfate on vascular endothelial function and hemorheology in patients with gestational hypertension
Objective To investigate the effects of nifedipine combined with magnesium sulfate on vascular endothelial function and hemorheology in patients with gestational hypertension.Methods A total of 90 patients with gestational hypertension admitted from January 2020 to January 2023 were selected and divided into control group(45 cases)and observation group(45 cases)by random number table method.The control group was treated with magnesium sulfate,and the observation group was treated with nifedipine on the basis of the control group.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was 95.56%,which was higher than 82.22%in the control group,and the difference was statistically significant(P<0.05).After treatment,the systolic blood pressure(SBP)and diastolic blood pressure(DBP)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the high blood viscosity(HBV),low blood viscosity(LBV),plasma viscosity(PV),fibrinogen(FIB)level and red cell rigidity index(HGX)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the endothelin-1(ET-1)level in the observation group was lower than that in the control group,the nitric oxide(NO)level was higher than that in the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse pregnancy outcomes in the observation group was 8.89%,which was lower than 26.67%in the control group(P<0.05).Conclusion Nifedipine combined with magnesium sulfate has a significant effect in the treatment of patients with gestational hypertension,which can reduce blood pressure,regulate hemorheology,improve vascular endothelial function,and reduce the incidence of adverse pregnancy outcomes.

nifedipinemagnesium sulfategestational hypertensionvascular endothelial functionhemorheology

万新利、王唯乐、李团网

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旬邑县医院,陕西 咸阳,711300

陕西中医药大学第二附属医院,陕西 咸阳,712000

硝苯地平 硫酸镁 妊娠期高血压 血管内皮功能 血液流变学

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(27)