首页|小剂量阿司匹林预防高危孕妇子痫前期的价值分析

小剂量阿司匹林预防高危孕妇子痫前期的价值分析

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目的 对小剂量阿司匹林预防高危孕妇子痫前期的临床价值进行探讨.方法 70 例高危孕妇,经过数字抽签法分为对照组和观察组,每组 35 例.所有孕妇均进行常规监测,观察组孕妇增加服用小剂量阿司匹林.比较两组分娩结局、子痫前期发生情况、炎症指标[血小板与淋巴细胞比值(PLR)、中性粒细胞与淋巴细胞比值(NLR)]水平、凝血功能指标[活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)]水平.结果 观察组孕妇早产和剖宫产发生率分别为 14.29%、11.43%,显著低于对照组的 51.43%、54.29%,组间差异明显有统计学意义(P<0.05).两组产后出血发生率比较,差异无统计学意义(P>0.05).观察组早发型子痫前期发生率 5.71%、晚发型子痫前期发生率 11.43%、总子痫前期发生率 17.14%均显著低于对照组的 25.71%、34.29%、60.00%,差异存在统计学意义(P<0.05).妊娠36 周时,观察组PLR(116.49±9.22)、NLR(4.24±0.33)明显低于对照组的(124.07±11.76)、(4.51±0.55),PT(11.90±0.56)s、APTT(29.98±0.49)s显著长于对照组的(9.15±0.20)、(24.14±0.33)s,组间差异有统计学意义(P<0.05).结论 高危孕妇在妊娠期遵医嘱服用小剂量的阿司匹林可有效地对子痫前期进行预防.
Value analysis of low-dose aspirin in prevention of preeclampsia in high-risk pregnant women
Objective To explore the clinical value of low-dose aspirin in prevention of preeclampsia in high-risk pregnant women.Methods 70 high-risk pregnant women were divided into a control group and an observation by digital lottery,with 35 cases in each group.All pregnant women were routinely monitored,and pregnant women in the observation group were treated with low-dose aspirin.The delivery outcome,preeclampsia occurrence,inflammation index[platelet-to-lymphocyte ratio(PLR),neutrophil to lymphocyte ratio(NLR)]level and coagulation function index[activated partial thromboplastin time(APTT),thrombin time(TT)]level were compared between the two groups.Results The incidence of preterm delivery and cesarean section in the observation group were 14.29%and 11.43%,which were significantly lower than 51.43%and 54.29%in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of postpartum hemorrhage between the two groups(P>0.05).The incidence of early-onset preeclampsia,late-onset preeclampsia and total incidence of preeclampsia in the observation group were 5.71%,11.43%and 17.14%,which were significantly lower than 25.71%,34.29%and 60.00%in the control group,with statistical significance(P<0.05).At 36 weeks of gestation,the observation group had PLR of(116.49±9.22)and NLR of(4.24±0.33),which were significantly lower than(124.07±11.76)and(4.51±0.55)in the control group;the observation group had PT of(11.90±0.56)s and APTT of(29.98±0.49)s,which were significantly longer than(9.15±0.20)and(24.14±0.33)s in the control group;the difference was statistically significant(P<0.05).Conclusion Taking low-dose aspirin in high-risk pregnant women can effectively prevent preeclampsia.

High-risk pregnant womenLow-dose aspirinPreeclampsiaClinical effect

彭舟丽、淮瑞敏、张建霞

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101300 北京市顺义区医院产科

高危孕妇 小剂量阿司匹林 子痫前期 临床作用

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(7)
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