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拉贝洛尔联合硫酸镁治疗子痫前期的临床效果

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目的 探讨子痫前期(PE)患者采用拉贝洛尔联合硫酸镁治疗的临床效果。方法 选取 2020 年 1 月至 2023年 12 月在黄河三门峡医院接受治疗的 60 例PE患者,以随机数字表法分为对照组(n=30)与研究组(n=30),对照组采用硫酸镁治疗,研究组采用拉贝洛尔联合硫酸镁治疗。比较两组临床疗效、血压、心率、尿蛋白、胎盘血流动力学参数、凝血功能指标、母婴不良事件。结果 研究组治疗有效率(96。67%)高于对照组(73。33%),差异有统计学意义(P<0。05)。治疗后,两组血压、心率(HR)、24 h尿蛋白量低于治疗前,且研究组低于对照组,差异有统计学意义(P<0。05)。治疗后,两组胎盘血流动力学参数低于治疗前,且研究组低于对照组,差异有统计学意义(P<0。05)。治疗后,两组凝血酶原时间(PT)、凝血活酶时间(APTT)长于治疗前,D-二聚体(D-D)低于治疗前,且研究组PT、APTT长于对照组,D-D高于对照组,差异有统计学意义(P<0。05)。研究组母婴不良事件发生率(6。67%)低于对照组(30。00%),差异有统计学意义(P<0。05)。结论 PE患者采用拉贝洛尔联合硫酸镁治疗,能够促进临床疗效提高,降低血压、HR、24 h尿蛋白量,改善胎盘血流动力学、凝血功能,减少母婴不良事件的发生。
Clinical Effect of Labetalol combined with Magnesium Sulfate in the Treatment of Preeclampsia
Objective To explore the clinical efficacy of using labetalol combined with magnesium sulfate in the treatment of preeclampsia(PE)patients.Methods Sixty PE patients who received treatment at Yellow River Sanmenxia Hospital from January 2020 to December 2023 were selected and randomly divided into control group(n=30)and study group(n=30)using a random number table method.The control group received magnesium sulfate treatment,while the study group received a combination of labetalol and magnesium sulfate treatment.The clinical efficacy,blood pressure,heart rate,urinary protein,placental hemodynamic parameters,coagulation function indicators,and maternal and infant adverse events were compared between two groups.Results The effective rate of treatment in the study group(96.67%)was higher than that in the control group(73.33%),and the difference was statistically significant(P<0.05).After treatment,the blood pressure,heart rate(HR),and 24-hour urine protein levels in both groups were lower than those before treatment,and the study group was lower than the control group,with statistically significant differences(P<0.05).After treatment,the placental hemodynamic parameters of the two groups were lower than those before treatment,and the study group was lower than the control group,with a statistically significant difference(P<0.05).After treatment,the prothrombin time(PT)and activated partial thromboplastin time(APTT)of the two groups were longer than those before treatment,and the D-dimer(D-D)was lower than that before treatment.In addition,the PT and APTT of the study group were longer than those of the control group,and the D-D was higher than that of the control group,with statistical significance(P<0.05).The incidence of maternal and infant adverse events in the study group(6.67%)was lower than that in the control group(30.00%),and the difference was statistically significant(P<0.05).Conclusion The use of labetalol combined with magnesium sulfate in the treatment of PE patients can promote clinical efficacy,reduce blood pressure,HR,24-hour urine protein,improve placental hemodynamics and coagulation function,and reduce the occurrence of maternal and infant adverse events.

labetalolmagnesium sulfatepreeclampsiaclinical effects

嵇萍、李丹、万瑞

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黄河三门峡医院 产科,河南 三门峡 472000

拉贝洛尔 硫酸镁 子痫前期 临床效果

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(2)
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