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硫酸镁与酚妥拉明联合用药对妊娠高血压综合征患者血清同型半胱氨酸及C反应蛋白的影响。

Effect of the drug combination of magnesium sulfate and phentolamine on homocysteine and C-reactive protein in the serum of patients with pregnancy-induced hypertension syndrome.

作者信息

Ma Li, Li Liang, Han Ping, Meng Fanchun, Jiao Chunhong, Zhang Hongmei

机构信息

Department of Obstetrics, Jining No. 1 People's Hospital, Jining, Shandong 272011, P.R. China.

Department of Pharmacy, Yidu Central Hospital of Weifang, Weifang, Shandong 262500, P.R. China.

出版信息

Exp Ther Med. 2019 May;17(5):3682-3688. doi: 10.3892/etm.2019.7385. Epub 2019 Mar 13.

Abstract

Effect and clinical efficacy of magnesium sulfate combined with phentolamine on homocysteine and C-reactive protein in the serum of patients with pregnancy-induced hypertension syndrome were investigated. A total of 96 patients with pregnancy-induced hypertension syndrome who were diagnosed and treated in Jining No. 1 People's Hospital from February 2016 to January 2018 were retrospectively analyzed. The patients were grouped according to the dosage regimen. The patients who received the combination treatment of magnesium sulfate and phentolamine on the basis of magnesium sulfate were included in the observation group, and the patients who were treated with the intravenous infusion of magnesium sulfate alone were included in the control group. Mean arterial pressure (MAP), the content of 24 h urine protein, systolic blood pressure (SBP), diastolic blood pressure (DBP), Hcy, and CRP of the pregnant women were observed. MAP and the content of 24 h urine protein, SBP and DBP of the patients in the observation group after the treatment were significantly lower than those of the patients in the control group (P<0.001). Hcy and CRP of the patients in the observation group after the treatment were significantly lower than those of the patients in the control group (P<0.001). The total effective rate of the patients in the observation group was significantly higher than that of the patients in the control group (P<0.05). In conclusion, the meliorative effect of magnesium sulphate combined with phentolamine on the level of MAP, the content of 24 h urine protein, SBP, DBP, Hcy and CRP in pregnant woman had a greater impact than that of the single use of the intravenous infusion of magnesium sulfate in the treatment of pregnancy-induced hypertension syndrome, and the clinical efficacy of magnesium sulphate combined with phentolamine was better, thus worthwhile to promote widely in clinic.

摘要

探讨硫酸镁联合酚妥拉明对妊娠高血压综合征患者血清同型半胱氨酸和C反应蛋白的影响及临床疗效。回顾性分析2016年2月至2018年1月在济宁市第一人民医院诊断并治疗的96例妊娠高血压综合征患者。根据给药方案对患者进行分组。在硫酸镁基础上接受硫酸镁联合酚妥拉明治疗的患者纳入观察组,单纯静脉滴注硫酸镁治疗的患者纳入对照组。观察孕妇的平均动脉压(MAP)、24小时尿蛋白含量、收缩压(SBP)、舒张压(DBP)、同型半胱氨酸(Hcy)和C反应蛋白(CRP)。治疗后观察组患者的MAP、24小时尿蛋白含量、SBP和DBP均显著低于对照组患者(P<0.001)。治疗后观察组患者的Hcy和CRP均显著低于对照组患者(P<0.001)。观察组患者的总有效率显著高于对照组患者(P<0.05)。综上所述,硫酸镁联合酚妥拉明对妊娠高血压综合征患者MAP水平、24小时尿蛋白含量、SBP、DBP、Hcy和CRP的改善作用比单纯静脉滴注硫酸镁更大,且硫酸镁联合酚妥拉明的临床疗效更好,因此值得在临床上广泛推广。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a1/6447783/dc92e018d88c/etm-17-05-3682-g00.jpg

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