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初产妇翻身试验阳性时使用低剂量阿司匹林。

Low-dose aspirin in primigravidae with positive roll-over test.

作者信息

Schröcksnadel H, Sitte B, Alge A, Steckel-Berger G, Schwegel P, Pastner E, Daxenbichler G, Hansen H, Dapunt O

机构信息

Department of Obstetrics and Gynecology, University of Innsbruck, Austria.

出版信息

Gynecol Obstet Invest. 1992;34(3):146-50. doi: 10.1159/000292748.

DOI:10.1159/000292748
PMID:1427414
Abstract

In a prospective, randomized, double-blind study for the prevention of pregnancy-induced hypertension and preeclampsia, 41 primigravidae with positive roll-over test (28th-32nd week of pregnancy) received 80 mg aspirin/day or placebo until the end of the 37th week. In the patients treated with acetylsalicylic acid (n = 22), 3 cases of proteinuria occurred, but no hypertensive pregnancy complication. In the placebo group (n = 19), 10 patients developed pregnancy-induced hypertension (6 of them preeclampsia). Group-specific differences concerning the occurrence of hypertension were statistically highly significant (p = 0.0004). No relevant differences were observed with regard to pregnancy duration, birth weight and umbilical artery pH value. The placebo group included 1 intrauterine death. No increased tendency to maternal or fetal bleeding was noticed.

摘要

在一项预防妊娠高血压和先兆子痫的前瞻性、随机、双盲研究中,41例翻身试验阳性(妊娠28至32周)的初产妇每天服用80毫克阿司匹林或安慰剂,直至妊娠37周末。在接受乙酰水杨酸治疗的患者(n = 22)中,发生了3例蛋白尿,但无高血压妊娠并发症。在安慰剂组(n = 19)中,10例患者发生了妊娠高血压(其中6例为先兆子痫)。高血压发生率的组间差异具有高度统计学意义(p = 0.0004)。在妊娠持续时间、出生体重和脐动脉pH值方面未观察到相关差异。安慰剂组有1例宫内死亡。未发现母婴出血倾向增加。

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Low-dose aspirin in primigravidae with positive roll-over test.初产妇翻身试验阳性时使用低剂量阿司匹林。
Gynecol Obstet Invest. 1992;34(3):146-50. doi: 10.1159/000292748.
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Low-dose aspirin prevents pregnancy-induced hypertension and pre-eclampsia in angiotensin-sensitive primigravidae.小剂量阿司匹林可预防血管紧张素敏感初产妇的妊娠高血压和子痫前期。
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