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低剂量阿司匹林对轻度妊娠高血压综合征女性的临床病程无影响。

Low-dose aspirin does not influence the clinical course of women with mild pregnancy-induced hypertension.

作者信息

Schiff E, Barkai G, Ben-Baruch G, Mashiach S

机构信息

Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Hashomer, Israel.

出版信息

Obstet Gynecol. 1990 Nov;76(5 Pt 1):742-4. doi: 10.1097/00006250-199011000-00002.

DOI:10.1097/00006250-199011000-00002
PMID:2216216
Abstract

The effect of low doses of aspirin on women with mild pregnancy-induced hypertension was investigated by means of a prospective, randomized, double-blind trial. Forty-seven women hospitalized at 30-36 weeks' gestation because of mild pregnancy-induced hypertension were treated by a daily dose of either 100 mg aspirin or placebo. The mean blood pressure values, rates of development of severe preeclampsia, gestational ages at delivery, newborn weights, and 5-minute Apgar scores were similar in the aspirin-treated and the placebo-treated groups. We conclude that low-dose aspirin is not curative but is essentially a preventive treatment which, in order to be effective, should be started weeks before clinical signs of preeclampsia are present.

摘要

通过一项前瞻性、随机、双盲试验,研究了低剂量阿司匹林对轻度妊娠高血压综合征妇女的影响。47名因轻度妊娠高血压综合征于妊娠30 - 36周住院的妇女,分别接受每日100毫克阿司匹林或安慰剂治疗。阿司匹林治疗组和安慰剂治疗组的平均血压值、重度子痫前期的发生率、分娩时的孕周、新生儿体重和5分钟阿氏评分相似。我们得出结论,低剂量阿司匹林并无治疗作用,本质上是一种预防性治疗,要想有效,应在子痫前期临床症状出现前数周开始使用。

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Unravelling the theories of pre-eclampsia: are the protective pathways the new paradigm?
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