首页|阿司匹林结合拉贝洛尔治疗妊娠期高血压的效果研究

阿司匹林结合拉贝洛尔治疗妊娠期高血压的效果研究

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目的 探讨阿司匹林联合拉贝洛尔治疗妊娠期高血压的效果。方法 选取 2022 年 2 月至 2023 年 2 月宜春市妇幼保健院收治的 94 例妊娠期高血压患者随机数字表法分成两组,每组各 47 例。对照组使用盐酸拉贝洛尔片治疗,观察组在此基础上加用阿司匹林肠溶片。比较两组患者治疗前后血压检测结果、凝血功能指标检测结果、胎盘血流动力学指标检测结果、生活质量综合评定问卷(GQOLI-74)评分的变化情况以及母婴不良妊娠结局的差异。观察两组分娩周数、分娩方式的差异。结果 治疗后,观察组舒张压(DBP)、收缩压(SBP)检测结果均低于对照组,差异有统计学意义(P<0。05);观察组凝血酶时间(TT)、凝血酶原时间(PT)检测结果均高于对照组,纤维蛋白原(FIB)、D二聚体(D-D)检测结果均低于对照组,差异有统计学意义(P<0。05);观察组阻力指数(RI)、搏动指数(PI)检测结果均低于对照组,时间平均流速(TAV)检测结果高于对照组,差异有统计学意义(P<0。05);观察组躯体功能评分、心理功能评分、社会功能评分、物质生活状态评分均高于对照组,差异有统计学意义(P<0。05)。两组母婴不良妊娠结局发生情况比较,差异无统计学意义(P>0。05)。观察组分娩周数晚于对照组,分娩方式经阴道分娩率高于对照组,差异有统计学意义(P<0。05)。结论 阿司匹林联合拉贝洛尔方案能够有效地调节妊娠期高血压患者的血压,改善其凝血功能和胎盘缺血缺氧状态,提高生活质量,减少不良妊娠结局,值得临床应用。
Study on the Efficacy of Aspirin Combined with Labetalol in the Treatment of Gestational Hypertension
Objective To explore the efficacy of aspirin combined with labetalol in the treatment of gestational hypertension.Methods A study was conducted on 94 patients with gestational hypertension admitted to Yichun Maternal and Child Health Hospital from February 2022 to February 2023.Using the random number table method divided into two groups with 47 cases each.The control group was treated with labetalol hydrochloride tablets,while the observation group was supplemented with aspirin enteric coated tablets.Compare the changes in blood pressure test results,coagulation function index test results,placental hemodynamic index test results,quality of life comprehensive assessment questionnaire(GQOLI-74)scores,and differences in adverse pregnancy outcomes between the two groups of patients before and after treatment.Observe the differences in delivery weeks and delivery methods between the two groups.Results After treatment,the results showed that the detection results of diastolic blood pressure and systolic blood pressure in the observation group were lower than those in the control group(P<0.05);the detection results of thrombin time and prothrombin time in the observation group were higher than those in the control group,while the detection results of fibrinogen and D-dimer were lower than those in the control group(P<0.05);the resistance index and pulsatile index test results of the observation group were lower than those of the control group,while the time average flow velocity test results were higher than those of the control group(P<0.05);the physical function score,psychological function score,social function score,and material life state score of the observation group were higher than those of the control group(P<0.05).There was no significant difference in the incidence of adverse pregnancy outcomes between the two groups(P>0.05).The observation group had a later delivery week than the control group,and the vaginal delivery rate was higher than that of the control group(P<0.05).Conclusion The combination of aspirin and labetalol can effectively regulate blood pressure,improve coagulation function and placental ischemia and hypoxia status in patients with gestational hypertension,improve quality of life,and reduce adverse pregnancy outcomes,it is worthy of clinical application.

Gestational hypertensionAspirinLabetalolPregnancy outcome

吴灵、冷颖

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宜春市妇幼保健院,江西宜春 336000

妊娠期高血压 阿司匹林 拉贝洛尔 妊娠结局

2024

药品评价
江西省药学会

药品评价

影响因子:0.672
ISSN:1672-2809
年,卷(期):2024.21(2)
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