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硝苯地平对妊娠高血压综合征患者产后失血的影响

[The effect of Nifedipine on postpartum blood loss in patients with pregnancy induced hypertension].

作者信息

Yang X, Liu Y

机构信息

Department of Obstetrics and Gynecology, People's Hospital Pingyu County, Henan Province 463400, China.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 2000 Mar;35(3):151-2.

Abstract

OBJECTIVE

To determine the efficacy of Nifedipine on postpartum blood Loss in patients with Pregnancy Induced Hypertension (PIH).

METHODS

64 cases of PIH were randomly divided into study group (n = 32) and control group (n = 32). Before labor Nifedipine 10 mg-20 mg was given three time daily for all cases. In study group Nifedipine was taken orally every 6 hours during the labor course until the end of second stage. In control group Nifedipine was not given in the labor stages. The postpartum blood loss was collected and measured carefully within 2 hours after delivery.

RESULTS

The amount of pastpartum hemorrhage was (359.1 +/- 136.6) ml in study group which was significantly higher than that of control group (268.5 +/- 110.7) ml P < 0.01. The postpartum hemorrhage rate in study and control group was 43.75% and 18.75% respectively. The difference was statistically significant (P < 0.05).

CONCLUSION

During labor using Nifedipine for PIH cases can increase the amount of postpartum blood loss and rate of postpartum hemorrnage.

摘要

目的

确定硝苯地平对妊娠高血压综合征(PIH)患者产后失血的疗效。

方法

将64例PIH患者随机分为研究组(n = 32)和对照组(n = 32)。所有病例在分娩前均给予硝苯地平10毫克 - 20毫克,每日三次。研究组在产程中每6小时口服一次硝苯地平,直至第二产程结束。对照组在产程中不给予硝苯地平。分娩后2小时内仔细收集并测量产后失血量。

结果

研究组产后出血量为(359.1±136.6)毫升,明显高于对照组(268.5±110.7)毫升,P < 0.01。研究组和对照组的产后出血率分别为43.75%和18.75%。差异具有统计学意义(P < 0.05)。

结论

产程中对PIH病例使用硝苯地平可增加产后失血量及产后出血率。

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