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植物固醇增强妊娠高血压子痫前期的口服硝苯地平治疗效果:一项安慰剂对照、双盲、随机临床试验。

Phytosterol enhances oral nifedipine treatment in pregnancy-induced preeclampsia: A placebo-controlled, double-blinded, randomized clinical trial.

机构信息

Department of Obstetrics and Gynecology, Liaocheng People's Hospital, Liaocheng 252000, China.

出版信息

Exp Biol Med (Maywood). 2019 Oct;244(13):1120-1124. doi: 10.1177/1535370219861574. Epub 2019 Jul 1.

Abstract

UNLABELLED

Preeclampsia is a severe complication which influences pregnant women all around the world, the symptom of which is serious maternal hypertension. Phytosterol is a type of natural compound commonly found in plant products, and has been incorporated into various food vectors and natural drugs. In the paper, the curative effect on preeclampsia by combination of oral nifedipine and phytosterol was assessed. Random grouping was carried out, with 253 preeclampsia patients being registered and taking orally nifedipine+phytosterol or nifedipine+placebo. The time for controlling the blood pressure and the time needed for the occurrence of another hypertensive crisis were defined as primary endpoints. The dosage required for controlling blood pressure, and the adverse effects from infants and mothers were defined as secondary endpoints. The nifedipine+phytosterol group required a remarkably shorter time for controlling blood pressure than the nifedipine+placebo group, an obviously delayed time for the occurrence of new hypertensive crisis, and an obvious lower dosage for controlling blood pressure. There was no difference between the two groups regarding the adverse effects from infants and mothers. Findings in the study suggest that phytosterol is an effective and safe adjuvant of the oral nifedipine and can alleviate the hypertension symptoms in preeclampsia patients.

IMPACT STATEMENT

There was no difference between the two groups regarding the adverse effects from infants and mothers. Findings in the study suggest that phytosterol is an effective and safe adjuvant of the oral nifedipine and can alleviate the hypertension symptoms in preeclampsia patients.

摘要

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子痫前期是一种严重的并发症,影响着全世界的孕妇,其症状是严重的母体高血压。植物固醇是一种天然化合物,常见于植物产品中,已被纳入各种食品载体和天然药物中。本文评估了口服硝苯地平与植物固醇联合治疗子痫前期的疗效。进行了随机分组,登记了 253 例子痫前期患者,分别口服硝苯地平+植物固醇或硝苯地平+安慰剂。控制血压的时间和发生另一次高血压危象的时间定义为主要终点。控制血压所需的剂量以及婴儿和母亲的不良反应定义为次要终点。与硝苯地平+安慰剂组相比,硝苯地平+植物固醇组控制血压所需的时间明显缩短,发生新的高血压危象的时间明显延迟,控制血压所需的剂量明显降低。两组婴儿和母亲的不良反应无差异。研究结果表明,植物固醇是口服硝苯地平的有效和安全辅助药物,可减轻子痫前期患者的高血压症状。

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