首页|拉贝洛尔联合硝苯地平并积极心理干预对HDP患者血压、负性情绪及睡眠质量的影响

拉贝洛尔联合硝苯地平并积极心理干预对HDP患者血压、负性情绪及睡眠质量的影响

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目的:探究拉贝洛尔联合硝苯地平并积极心理干预对妊娠期高血压疾病(HDP)患者血压、负性情绪及睡眠质量的影响.方法:随机数字表法将2022年1月—2023年12月本院收治的HDP患者100例分为对照组(硝苯地平+积极心理干预)、观察组(拉贝洛尔+硝苯地平+积极心理干预)各50例,比较两组治疗4周后血压水平、负性情绪、睡眠质量和不良反应发生的差异性.结果:两组治疗4周后收缩压和舒张压水平均降低,且观察组(117.8±4.6 mm-Hg、76.2±2.1mmHg)低于对照组(130.3±5.4 mmHg、83.0±3.2mmHg),两组焦虑自评量表和抑郁自评量表评分均降低且观察组(38.22±2.96分、40.38±2.54分)低于对照组(46.38±4.41分、51.36±3.88分),两组匹兹堡睡眠质量指数分值均降低且观察组(6.22±0.94分)低于对照组(8.86±1.25分)(均P<0.05);不良反应发生率对照组(10.0%)与观察组(14.0%)无差异(P>0.05).结论:拉贝洛尔联合硝苯地平并积极心理干预有利于降低HDP患者血压,改善负性情绪,提高睡眠质量.
Impacts of labetolol and nifedipine combined with positive psychological intervention for treating pregnant women with hy-pertensive disorder complicating pregnancy on their blood pressure,negative emotions,and sleep quality
Objective:To explore the impacts of labetolol and nifedipine combined with positive psychological interven-tion for treating pregnant women with hypertensive disorder complicating pregnancy(HDP)on their blood pressure,negative emotions,and sleep quality.Methods:A total of 100 pregnant women with HDP were randomly divided into two groups(50 cases in each group)from January 2022 to December 2023.The women in the two groups were given nifedipine combined with positive psychological intervention,and the women in the observation group were given labe-tolol additionally.The blood pressure value,the negative emotions situation,the sleep quality,the adverse pregnancy outcomes and the incidence of adverse reactions of the women were compared between the two groups.Results:After 4 weeks of treatment,the systolic blood pressure and diastolic blood pressure values of the women in the two groups had decreased significantly,and which(117.8±4.6 mmHg and 76.2±2.1mmHg)of the women in the observation group were significantly lower than those(130.3±5.4 mmHg and 83.0±3.2mmHg)of the women in the control group.The scores of the self-rating anxiety scale and self-rating depression scale of the women in the two groups had decreased significantly,and which(38.22±2.96 points and 40.38±2.54 points)of the women in the observation group were significantly lower than those(46.38±4.41 points and 51.36±3.88 points)of the women in the control group.The Pittsburgh sleep quality index score of the women in the two groups had decreased significantly,and which(6.22±0.94 points)of the women in the observation group was significantly lower than that(8.86±1.25 points)of the women in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions(10.0%vs.14.0%)of the women between the two groups(P>0.05).Conclusion:Labetolol and nifedipine combined with positive psychological intervention for treating the pregnant women with HDP can decrease their blood pressure,and improve their negative emotions and sleep quality.

Hypertensive disorder complicating pregnancyLabetololNifedipinePsychological interventionBlood pressureNegative emotionSleep quality

沈静、李文侠、谢敏、王友莲

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安徽省颍上县人民医院(236200)

妊娠期高血压 拉贝洛尔 硝苯地平 心理干预 血压 负性情绪 睡眠质量

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(5)
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