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抗高血压药物对重度高血压孕妇胎盘血流速度波形的影响。

Antihypertensive drug effects on placental flow velocity waveforms in pregnant women with severe hypertension.

作者信息

Duggan P M, McCowan L M, Stewart A W

机构信息

Department of Obstetrics and Gynaecology, National Women's Hospital, New Zealand.

出版信息

Aust N Z J Obstet Gynaecol. 1992 Nov;32(4):335-8. doi: 10.1111/j.1479-828x.1992.tb02846.x.

DOI:10.1111/j.1479-828x.1992.tb02846.x
PMID:1290431
Abstract

Doppler studies of the uterine and umbilical arteries were performed in 24 acutely hypertensive pregnant women. Women were divided into 2 groups: Group 1 (diastolic blood pressure (DBP) > 110 mm Hg) received placebo (n = 6) or 10 mg oral nifedipine (n = 9); Group 2 (DBP > or = 110 mm Hg) received 10 mg oral nifedipine (n = 5) or 10 mg intravenous hydralazine (n = 4). Treatment allocations were random within groups and the investigator and patient were blind to the treatments. Baseline flow velocity waveforms (FVW) and posttreatment FVW's at 30, 60 and 120 minutes were recorded. There was no significant difference between baseline and posttreatment FVW indices within or between groups. Placebo was as effective as nifedipine in lowering blood pressure over 2 hours of study. There were no significant adverse effects of treatment.

摘要

对24名急性高血压孕妇进行了子宫和脐动脉的多普勒研究。将这些妇女分为两组:第1组(舒张压(DBP)>110mmHg)接受安慰剂(n = 6)或10mg口服硝苯地平(n = 9);第2组(DBP≥110mmHg)接受10mg口服硝苯地平(n = 5)或10mg静脉注射肼屈嗪(n = 4)。组内治疗分配是随机的,研究者和患者对治疗均不知情。记录了基线血流速度波形(FVW)以及治疗后30、60和120分钟时的FVW。组内或组间基线和治疗后FVW指数无显著差异。在2小时的研究中,安慰剂在降低血压方面与硝苯地平效果相同。治疗无显著不良反应。

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引用本文的文献

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Drugs for treating severe hypertension in pregnancy: a network meta-analysis and trial sequential analysis of randomized clinical trials.治疗妊娠重度高血压的药物:随机临床试验的网络荟萃分析和试验序贯分析。
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Oral antihypertensive therapy for severe hypertension in pregnancy and postpartum: a systematic review.
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Drugs for treatment of very high blood pressure during pregnancy.用于治疗孕期极高血压的药物。
Cochrane Database Syst Rev. 2013 Jul 31;2013(7):CD001449. doi: 10.1002/14651858.CD001449.pub3.
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Hydralazine for treatment of severe hypertension in pregnancy: meta-analysis.肼屈嗪治疗妊娠期重度高血压:荟萃分析
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