首页|拉贝洛尔及硝苯地平治疗重度子痫前期对孕产妇及围产儿结局的影响研究

拉贝洛尔及硝苯地平治疗重度子痫前期对孕产妇及围产儿结局的影响研究

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目的 探讨硝苯地平及拉贝洛尔进行治疗重度子痫前期对于孕产妇以及围产儿的预后影响.方法 选取2021年4月—2023年3月湘潭市妇幼保健院产科收治的78例重度子痫前期患者为研究对象,以随机数表法分为对照组和观察组,对照组(39例,硝苯地平治疗),观察组(39例,拉贝洛尔治疗),比较孕产妇及围产儿情况.结果 观察组治疗总有效率(94.87%)高于对照组(79.49%),差异有统计学意义(χ2=4.129,P<0.05);与对照组相比,观察组不良妊娠及围产儿结局发生率、血压指标和24 h尿蛋白定量均有下降,24 h尿量有所上升,差异有统计学意义(P均<0.05).结论 在重度子痫前期治疗中,拉贝洛尔效果优于硝苯地平,能够改善患者血压水平和肾功能状态,预防不良母婴结局,不良反应率较低.
A Study of the Effect of Labetalol and Nifedipine in the Treatment of Se-vere Preeclampsia on Maternal and Perinatal Outcomes
Objective To explore the prognostic effects of nifedipine and labetalol on the treatment of severe pre-eclampsia on maternal and perinatal outcomes.Methods Seventy-eight patients with severe preeclampsia admitted to the obstetrics department of Xiangtan Maternal and Child Health Hospital from April 2021 to March 2023 were se-lected for the study,and were divided into control group and observation group by the random number table method,the control group(39 cases,treated with nifedipine),and the observation group(39 cases,treated with labetalol)com-paring maternal and perinatal conditions.Results The total effective rate of treatment in the observation group(94.87%)was higher than that in the control group(79.49%),the difference was statistically significant(χ2=4.129,P<0.05).Compared with the control group,the incidence of adverse pregnancy and perinatal outcomes,blood pressure in-dexes and 24-hour urine protein quantification decreased in the observation group,and 24-hour urine volume in-creased,the differences were statistically significant(all P<0.05).Conclusion In the treatment of severe preeclampsia,labetalol is more effective than nifedipine,which can improve the patient's blood pressure level and renal function sta-tus,prevent adverse maternal and infant outcomes,and has a lower rate of adverse reactions.

PreeclampsiaSevereNifedipineLabetalolMaternalPerinatalOutcome

李杨

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湘潭市妇幼保健院产科,湖南湘潭 411104

子痫前期 重度 硝苯地平 拉贝洛尔 孕产妇 围产儿 结局

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(1)
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