拉贝洛尔与硫酸镁联合地屈孕酮治疗早发型重症子痫前期33例临床观察

张洁

江苏省邳州市人民医院妇产科，江苏邳州221300

【摘要】目的：观察拉贝洛尔、硫酸镁联合地屈孕酮治疗早发型重症子痫前期的临床疗效。方法：选取63例早发型重症子痫前期患者为研究对象，依据治疗措施不同分为对照组30例和实验组33例。对照组给予硫酸镁治疗，实验组采用拉贝洛尔、硫酸镁、地屈孕酮联合治疗，比较两组治疗前后血压变化及妊娠结局情况。结果：实验组患者治疗后收缩压和舒张压均低于对照组，实验组患者的围生儿胎儿窘迫、胎儿生长受限、围产儿死亡、胎死宫中、新生儿死亡率均优于对照组，差异均有统计学意义(P<0.05)。结论：拉贝洛尔、硫酸镁联合地屈孕酮治疗早发型重症子痫前期的临床效果良好，值得临床推广应用。

【关键词】拉贝洛尔；硫酸镁；地屈孕酮；重症子痫前期；早发型

【中图分类号】R714.24`+5

【文献标志码】A

【文章编号】1007-8517(2015)21-0100-02

Abstract:ObjectiveTo approach curative effect analysis of treatment early hairstyle severe preeclampsia by labetalol、magnesium sulfate and dydrogesterone. MethodsSelect 63 cases clinical data of early hairstyle severe preeclampsia patients in our hospital, which was to be divided into two groups，control group 30 cases and experimental group 33 cases. The control group was treated with magnesium sulfate,In the experimental group,labetalol,magnesium sulfate, dydrogesterone combined treatment,The improvement of clinical symptoms after treatment was compared. Result The systolic blood pressure and diastolic blood pressure of experimental group early hairstyle severe preeclampsia patients were lower than control group，the perinatal fetal distress、fetal growth restriction、perinatal death、fetal death palace and neonatal death rate of experimental group early hairstyle severe preeclampsia patients were better than control group (P<0.05)，the difference were statistical significance.Conclusion The clinical symptoms of treatment early hairstyle severe preeclampsia by labetalol and magnesium sulfate and dydrogesterone are obviously，which is to be used.

Keywords:Labetalol;Magnesium Sulfate;Dydrogesterone;Early Hairstyle Severe Preeclampsia

收稿日期：(2015.07.25)

The Curative Effect Analysis of Treatment Early Hairstyle Severe Preeclampsia by

Labetalol、Magnesium Sulfate and Dydrogesterone

ZHANG Jie

The Gynaecology and Obstetrics of Pizhou City People Hospital in Jiangsu Province,Pizhou 221300,China

重度子痫前期属于妊娠期高血压较为严重的一种类型，该病在我国发生率为9%左右，且呈现增高的趋势[1]。早发型重症子痫前期是患者妊娠20周后出现高血压、蛋白尿、水肿等临床表现，并伴有不同程度的机体各项脏器损害，严重者可能造成抽搐、昏迷、脑出血、心力衰竭、胎盘早剥等，容易造成围产期患者和围生儿死亡[2]。笔者选取63例早发型重症子痫前期患者，以探讨有效治疗早发型重症子痫前期的治疗方法，现报告如下。

1资料与方法

1.1一般资料选取我院2012年2月至2014年4月收治的63例早发型重症子痫前期患者为研究对象，依据治疗措施不同进行分为对照组与实验组。……