首页|硝苯地平、硫酸镁联合地西泮在重度子痫前期患者临床治疗中的应用价值

硝苯地平、硫酸镁联合地西泮在重度子痫前期患者临床治疗中的应用价值

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目的:探讨硝苯地平、硫酸镁联合地西泮在重度子痫前期(PE)患者中的应用效果。方法:选取2021年5月—2023 年 5 月仁怀市人民医院收治的 100 例重度PE患者作为研究对象,按随机数表法将其分为观察组与对照组,各 50 例。对照组给予硝苯地平、硫酸镁治疗,观察组在对照组基础上加用地西泮治疗。对比两组临床疗效、血压水平、24 h尿蛋白、血清学指标及不良反应发生情况。结果:观察组总有效率为 96。00%,高于对照组的 82。00%,差异有统计学意义(P<0。05)。两组治疗前血压、24 h尿蛋白、血清学指标比较,差异无统计学意义(P>0。05);观察组治疗后收缩压(SBP)、舒张压(DBP)、24 h尿蛋白、氧化蛋白产物(AOPP)、血管紧张素Ⅱ(Ang-Ⅱ)低于对照组,谷胱甘肽过氧化物酶(GSH-Px)、血管内皮生长因子(VEGF)高于对照组,差异有统计学意义(P<0。05)。两组不良反应发生率比较,差异无统计学意义(P>0。05)。结论:硝苯地平、硫酸镁联合地西泮可增强重度PE治疗效果,降低血压与 24 h尿蛋白水平,改善血清学指标,安全性良好。
Application Value of Nifedipine,Magnesium Sulfate Combined with Diazepam in the Clinical Treatment of Patients with Severe Preeclampsia
Objective:To explore the application effect of Nifedipine,Magnesium Sulfate combined with Diazepam in the treatment of patients with severe preeclampsia(PE).Method:A total of 100 patients with severe PE who admitted to Renhuai City People's Hospital from May 2021 to May 2023 were selected as the research objects,and they were divided into the observation group and the control group according to the random number table method,with 50 cases in each group.The control group was treated with Nifedipine and Magnesium Sulfate,while the observation group was treated with Diazepam on the treatment of the control group.The clinical efficacy,blood pressure,24 h urine protein,serological indicators and incidence of adverse reactions between two groups were compared.Result:The total effective rate of the observation group was 96.00%,which was higher than 82.00%of the control group,the difference was statistically significant(P<0.05).There were no significant differences in the blood pressure,24 h urinary protein and serological indexes between two groups before treatment(P>0.05);the systolic blood pressure(SBP),diastolic blood pressure(DBP),24 h urinary protein,oxidized protein product(AOPP)and angiotensin Ⅱ(Ang-Ⅱ)in the observation group after treatment were lower than those in the control group,the glutathione peroxidase(GSH-Px)and vascular endothelial growth factor(VEGF)were higher than control group's,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between two groups(P>0.05).Conclusion:Nifedipine,Magnesium Sulfate combined with Diazepam can enhance the therapeutic effect of severe PE,reduce blood pressure and 24 h urinary protein levels,improve serological indicators,and have good safety.

Severe preeclampsiaNifedipineMagnesium SulfateDiazepamBlood pressure

陈华叶

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仁怀市人民医院 贵州 仁怀 564500

重度子痫前期 硝苯地平 硫酸镁 地西泮 血压

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(14)
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