CAJ | 학술논문

目的探讨妊娠高血压综合征的防治方法。方法选择妊娠高血压综合征患者60例，在解痉、镇静、降压以及预防产后出血等治疗的基础上，给予硫酸镁治疗，观察治疗前后患者的平均动脉压、血尿素氮、肌酐与尿酸的变化情况，观察对母婴预后的影响。结果所有患者治疗后平均动脉压、尿素氮、尿酸均降低，与治疗前比较，差异有显著性(P＜0.05)。但肌酐变化差异无显著性(P＞0.05)。60例患者均安全分娩，产妇无并发症发生，无新生儿窒息，无围生儿死亡，均痊愈出院。结论硫酸镁治疗妊娠高血压综合征可降低血压、改善母婴预后，阻滞妊娠高血压综合征病理过程的恶化，降低围产儿死亡率。
목적 탐토임신고혈압종합정적방치방법。방법 선택임신고혈압종합정환자60례，재해경、진정、강압이급예방산후출혈등치료적기출상，급여류산미치료，관찰치료전후환자적평균동맥압、혈뇨소담、기항여뇨산적변화정황，관찰대모영예후적영향。결과 소유환자치료후평균동맥압、뇨소담、뇨산균강저，여치료전비교，차이유현저성(P＜0.05)。단기항변화차이무현저성(P＞0.05)。60례환자균안전분면，산부무병발증발생，무신생인질식，무위생인사망，균전유출원。결론 류산미치료임신고혈압종합정가강저혈압、개선모영예후，조체임신고혈압종합정병리과정적악화，강저위산인사망솔。
Objective To explore the effects of preventing and controlling methods for pregnancy induced hypertension syndrome (PIHS) and to the maternal infant prognosis. Methods 60 cases of PIHS were selected and treated with spasmolysis, calm, bring high blood pressure down and postpartum hemorrhage, and then added with the magnesium sulfate treatment, the change status of patients' average arterial pressure, the blood urea nitrogen, the creatinine and the uric acid were observed and compared the effect to maternal infant prognosis with those before treatment. Results After treatment the average arterial pressure, the urea nitrogen, and the uric acid all decreased, compared with those before treatment,there was significant difference (P＜0.05). But no significant difference was found in the creatinine(P＞0.05).60 patients had safe delivery, without complication occurrence and asphyxia neonatorum, no death of prenatal infants. And all patients were cured. Conclusion The magnesium sulfate treatment for PIHS may reduce the blood pressure, improve the maternal infant prognosis, hinder the worsening of pathology process of PIHS, and reduce mortality rate of prenatal infants.