当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2015年
2期
147-148
,共2页
短效%长效%硝苯地平%妊娠高血压
短效%長效%硝苯地平%妊娠高血壓
단효%장효%초분지평%임신고혈압
Short-acting%Long-acting%Nifedipine%Gestational hypertension
目的：探讨短效及长效硝苯地平治疗妊娠高血压的临床效果。方法选取妊娠高血压患者60例作为研究对象，采取随机数字表法均分为对照组与试验组（n=30）。观察2组患者的临床效果。结果2组患者治疗前的平均收缩压及平均舒张压无显著差异。2组患者治疗后的平均收缩压及平均舒张压较治疗前显著下降，而试验组的平均收缩压（121.8±9.7）mmHg及平均舒张压（77.5±7.1）mmHg较对照组（148.7±10.5）mmHg、（86.7±8.6）mmHg下降更加显著（P<0.05）。试验组较对照组相比，行剖宫产的患者数显著减少，顺产的患者数显著增多（P<0.05）。试验组较对照组相比，出现宫内窘迫及围生儿死亡现象显著减少（P<0.05）。结论长效硝苯地平与短效硝苯地平相比，临床效果更佳突出，降压明显，并能够长期维持，值得在临床范围内广泛推广。
目的：探討短效及長效硝苯地平治療妊娠高血壓的臨床效果。方法選取妊娠高血壓患者60例作為研究對象，採取隨機數字錶法均分為對照組與試驗組（n=30）。觀察2組患者的臨床效果。結果2組患者治療前的平均收縮壓及平均舒張壓無顯著差異。2組患者治療後的平均收縮壓及平均舒張壓較治療前顯著下降，而試驗組的平均收縮壓（121.8±9.7）mmHg及平均舒張壓（77.5±7.1）mmHg較對照組（148.7±10.5）mmHg、（86.7±8.6）mmHg下降更加顯著（P<0.05）。試驗組較對照組相比，行剖宮產的患者數顯著減少，順產的患者數顯著增多（P<0.05）。試驗組較對照組相比，齣現宮內窘迫及圍生兒死亡現象顯著減少（P<0.05）。結論長效硝苯地平與短效硝苯地平相比，臨床效果更佳突齣，降壓明顯，併能夠長期維持，值得在臨床範圍內廣汎推廣。
목적：탐토단효급장효초분지평치료임신고혈압적림상효과。방법선취임신고혈압환자60례작위연구대상，채취수궤수자표법균분위대조조여시험조（n=30）。관찰2조환자적림상효과。결과2조환자치료전적평균수축압급평균서장압무현저차이。2조환자치료후적평균수축압급평균서장압교치료전현저하강，이시험조적평균수축압（121.8±9.7）mmHg급평균서장압（77.5±7.1）mmHg교대조조（148.7±10.5）mmHg、（86.7±8.6）mmHg하강경가현저（P<0.05）。시험조교대조조상비，행부궁산적환자수현저감소，순산적환자수현저증다（P<0.05）。시험조교대조조상비，출현궁내군박급위생인사망현상현저감소（P<0.05）。결론장효초분지평여단효초분지평상비，림상효과경가돌출，강압명현，병능구장기유지，치득재림상범위내엄범추엄。
Objective To explore and analyze the clinical efficacy of short-acting and long-acting nifedipine in the treatment of gestational hypertension. Methods Selected 60 patients with gestational hypertension treated in Child Health Hospital of Ganzhou from Dec 2011 to Dec 2013 as the study objects, and divided them into control group and experimental group by random number table method(n=30).Average sustotic pressure and diastolic pressure of experimental group were (121.8±9.7)mmHg and (77.5±7.1)mmHg, and average sustolic pressure and diastolic pressure of control group were (148.7±10.5)mmHg and (86.7±5.6)mmHg, The clinical efficacies of two groups were observed. Results The average systolic pressure and diastolic pressure of two groups before treatment had no significant differences.After treatment, average systolic pressure and diastolic pressure of two groups decreased significantly, and the decreased degree of experimental group was significantly higher than control group(P<0.05).In experimental group, the number of patients undergoing cesarean delivery was significantly reduced comparing to control group, the number of patients undergoing birth was significantly increased, In experimental group, the emergence of fetal distress and perinatal child mortality were significantly reduced comparing to control group(P<0.05). Conclusion The long-acting nifedipine comparing with short-acting nifedipine has better clinical results, the buck is obvious, and can be able to maintain in long-term, it should be popularized in the clinical range.
