北方药学
北方藥學
북방약학
JOURNAL OF NORTH PHARMACY
2015年
4期
108-109,110
,共3页
硝苯地平%妊娠高血压%长效%短效
硝苯地平%妊娠高血壓%長效%短效
초분지평%임신고혈압%장효%단효
Nifedipine%Gestational hypertension%Long-term%A short-acting
目的：比较短效与长效硝苯地平对妊娠高血压的临床效果。方法：随机抽取我院2012年1月～2014年1月妊娠高血压孕妇140例，分为对照组70例和实验组70例，全部采用硫酸镁进行治疗，对照组服用短效硝苯地平，实验组服用长效硝苯地平，比较两组血压变化、分娩方式、胎儿分娩过程中出现的并发症情况与产妇不良反应。结果：对照组平均收缩压为（120.5±13.9）mmHg，实验组平均收缩压为（150.4±14.2）mmHg，实验组明显优于对照组；对照组有21例自然分娩，49例剖宫产，胎儿窘迫与死亡14例，实验组有44例自然分娩，26例剖宫产，胎儿窘迫6例，无胎儿死亡病例，实验组分娩状况较好；对照组产程内出现5例胎盘早剥、0例产后出血和4例胎膜早破，实验组产程内出现1例胎膜早破和3例产后出血，无胎盘早剥，对比显示实验组优于对照组。结论：对妊娠高血压应用长效硝苯地平可有效控制血压变化，并顺利分娩，值得临床推广。
目的：比較短效與長效硝苯地平對妊娠高血壓的臨床效果。方法：隨機抽取我院2012年1月～2014年1月妊娠高血壓孕婦140例，分為對照組70例和實驗組70例，全部採用硫痠鎂進行治療，對照組服用短效硝苯地平，實驗組服用長效硝苯地平，比較兩組血壓變化、分娩方式、胎兒分娩過程中齣現的併髮癥情況與產婦不良反應。結果：對照組平均收縮壓為（120.5±13.9）mmHg，實驗組平均收縮壓為（150.4±14.2）mmHg，實驗組明顯優于對照組；對照組有21例自然分娩，49例剖宮產，胎兒窘迫與死亡14例，實驗組有44例自然分娩，26例剖宮產，胎兒窘迫6例，無胎兒死亡病例，實驗組分娩狀況較好；對照組產程內齣現5例胎盤早剝、0例產後齣血和4例胎膜早破，實驗組產程內齣現1例胎膜早破和3例產後齣血，無胎盤早剝，對比顯示實驗組優于對照組。結論：對妊娠高血壓應用長效硝苯地平可有效控製血壓變化，併順利分娩，值得臨床推廣。
목적：비교단효여장효초분지평대임신고혈압적림상효과。방법：수궤추취아원2012년1월～2014년1월임신고혈압잉부140례，분위대조조70례화실험조70례，전부채용류산미진행치료，대조조복용단효초분지평，실험조복용장효초분지평，비교량조혈압변화、분면방식、태인분면과정중출현적병발증정황여산부불량반응。결과：대조조평균수축압위（120.5±13.9）mmHg，실험조평균수축압위（150.4±14.2）mmHg，실험조명현우우대조조；대조조유21례자연분면，49례부궁산，태인군박여사망14례，실험조유44례자연분면，26례부궁산，태인군박6례，무태인사망병례，실험조분면상황교호；대조조산정내출현5례태반조박、0례산후출혈화4례태막조파，실험조산정내출현1례태막조파화3례산후출혈，무태반조박，대비현시실험조우우대조조。결론：대임신고혈압응용장효초분지평가유효공제혈압변화，병순리분면，치득림상추엄。
Objective:to compare the clinical effect of short-term and long-term nifedipine on pregnancy hypertension. Methods:randomly selected in our hospital between January 2012 and January 2014,140 patients with gestational hypertension, it can be divided into the control group of 70 cases and the experimental group 70 cases, all patients were treated with magnesium sulfate, control group a short-acting nifedipine to pregnant women, the experimental group long-term nifedipine to pregnant women, compared two groups of pregnant women blood pressure change, pregnant childbirth way, fetal childbirth complications arising from the situation and maternal adverse reactions.Results: control group in the average systolic blood pressure was (120.5 ±13.9)mmHg, the experimental group the average systolic blood pressure was (150.4±14.2)mmHg, by comparing the experimental group was better than control group;Control group with 21 cases of natural childbirth, 49 cases of cesarean section, fetal distress and death cases, 14 cases of experimental group of 44 cases of natural childbirth, 26 cases of cesarean section, fetal distress in 6 cases, no cases of fetal death, by comparing the experimental group pregnant childbirth is better; Control group of pregnant women in labor in 5 cases of placental abruption,0 cases of postpartum hemorrhage, and 4 cases of premature rupture of membranes,the experimental group pregnant women in labor appear premature rupture of membranes in 1 case and 3 cases of postpartum hemorrhage, no case of placental abruption, comparison shows that the experimental group is better than the control group. Conclusion: long-term application of pregnancy-induced hypertension pregnant women nifedipine can effectively control the blood pressure change, and easy childbirth, worthy of clinical popularization and application.
