首页|低分子肝素钙联合丹参对早发型重度子痫前期围产结局的影响

低分子肝素钙联合丹参对早发型重度子痫前期围产结局的影响

The perinatal influence of low molecular heparin calcium combined with salvia miltiorrhiza on early onset severe pre-eclampsia

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目的:观察低分子肝素钙+丹参治疗早发型重度子痫前期对围产结局的影响.方法:选取孕龄26 ~ 34周重度子痫前期患者116例,自愿分为A组32例(硫酸镁常规治疗),B组28例(硫酸镁+低分子肝素钙组),C组30例(硫酸镁+丹参组),D组26例(硫酸镁+低分子肝素钙+丹参组).对比4组在延长孕龄时间、脐动脉S/D比值、羊水指数、胎盘重量、新生儿体重、Apgar评分的差异.结果:D组延长孕龄时间最长,脐动脉S/D比值下降,羊水量,新生儿体质量均增加,新生儿窒息率下降,与其他3组对比差异有统计学意义,P<0.05;胎盘重量增加,与A组对比差异有统计学意义,P<0.05;与B、C组对比差异无统计学意义,P>0.05.结论:低分子肝素钙联合丹参治疗早发型重度子痫前期,可改善胎盘功能,延长孕龄,明显改善新生儿预后,二者联合应用有协同作用.
Objective:To analyze the perinatal effect of low molecular heparin calcium combined with salvia miltiorrhiza on early onset severe pre-eclampsia.Methods:116 patients with early onset severe pre-eclampsia at 26 ~ 34 weeks of gestational age were divided into four groups by volunteered,including Group A (32 patients):magnesium sulfate conventional treatment; Group B (28 patients):magnesium sulfate + low molecular heparin calcium; Group C (30 patients):magnesium sulfate + salvia mihiorrhiza; Group D (26 patients):magnesium sulfate + salvia miltiorrhiza + low molecular heparin calcium.Time of prolonged gestational age,umbilical arterial S/D ratio,amniotic fluid index,placenta weight,neonatal weight and Apgar score were measured.Results:The time of prolonged gestational age in group D was the longest.In group D,umbilical arterial S/D ratio was decreased,amniotic fluid index and neonatal weight were increased,the neonatal Apgar score was improved.Compared with the other three groups,there were significant differences (P < 0.05).In group D,placenta weight was increased,there was significant difference between group D and group A (P < 0.05).Compared with group B and group C,there were no differences (P > 0.05).Conclusion:Low molecular heparin calcium combined with salvia miltiorrhiza could improve the function of placenta,prolong gestational age and significantly improve neonatal prognosis of early onset severe pre-eclampsia.The application of low molecular heparin calcium combined salvia miltiorrhiza is more synergy than by single.

Early onset severe pre-eclampsia (EOSP)Low molecular heparin calciumSalvia miltiorrhizaGestational agePerinatals

童重新、邢小芬、乔书花、刘琳、丁占平

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河北省儿童医院妇产科,河北石家庄 050031

早发型重度子痫前 期低分子肝素钙 丹参 孕龄 围生儿

河北省科学技术研究与发展指导计划

20100201

2013

中国妇幼保健
中华预防医学会 吉林省医学期刊社

中国妇幼保健

CSTPCD北大核心
影响因子:1.486
ISSN:1001-4411
年,卷(期):2013.28(21)
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