Li Xue-lan, Liu Dan, Zheng Qing-lian
Department of Gynecology & Obstetrics, First Affiliated Hospital, Medical School of Xi'an Jiaotong University, Xi'an 710061.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2010 Mar;30(3):252-4.
To evaluate the efficacy of Salviae injection and ligustrazine injection (S & L) in combining with Western medicine for treatment of early onset of severe pre-eclampsia (EOSP), and its impact on pregnancy.
An open prospective controlled study was conducted on 63 women suffering from EOSP during the 29th-32th week of pregnancy. They were assigned, according to the sequence of hospitalizing, to the treated group (32 cases) and the control group (31 cases). Both groups were treated with conventional Western medical treatment, but S & L were administered additionally to the treated group. Levels of plasma D-dimer, blood viscosity, and outcome of the pregnancy were analyzed.
The effect in prolonging the pregnancy and lowing the incidence of fetal distress and newborn death in the treated group was superior to that in the control group, the corresponding data were 11.0 +/- 1.2 days, 11 cases, 4 cases in the treated group and 6.0 +/- 1.5 days, 16 cases and 8 cases in the control group, respectively. Levels of blood viscosity ratio and D-dimer in the treated group were lowered significantly after treatment (1.20 +/- 0.13 vs 2.29 +/- 0.13, 1.61 +/- 0.45 mg/L vs 2.40 +/- 0.09 mg/L), which had no remarkable change in the control group.
Combined application of S & L for treatment of EOSP could improve the blood hyperviscosity, prolong the pregnancy week, and improve the outcome of pregnancy to reduce incidence of perinatal morbidity and mortality in patients.
评价丹参注射液和川芎嗪注射液(丹芎)联合西药治疗早发型重度子痫前期(EOSP)的疗效及其对妊娠的影响。
对63例孕29 - 32周的EOSP患者进行开放性前瞻性对照研究。根据住院顺序将患者分为治疗组(32例)和对照组(31例)。两组均采用常规西医治疗,但治疗组额外给予丹芎治疗。分析血浆D - 二聚体水平、血液黏度及妊娠结局。
治疗组在延长孕周、降低胎儿窘迫发生率和新生儿死亡率方面的效果优于对照组,相应数据分别为:治疗组11.0±1.2天、11例、4例;对照组6.0±1.5天、16例、8例。治疗后治疗组血液黏度比和D - 二聚体水平显著降低(分别为1.20±0.13 vs 2.29±0.13,1.61±0.45mg/L vs 2.40±0.09mg/L),而对照组无明显变化。
丹芎联合应用治疗EOSP可改善血液高黏状态,延长孕周,改善妊娠结局,降低患者围生期发病率和死亡率。