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平肝益气养神方联合盐酸拉贝洛尔及硫酸镁治疗妊娠期高血压疾病的临床评价

Clinical Evaluation of Pinggan Yiqi Yangshen Recipe Combined with Labetalol Hydrochloride and Magnesium Sulfate in the Treatment of PIH.

作者信息

Li Ping, Zhao Jie, Gao Peipei, Qu Hongcui

机构信息

Health Education Department, Zhangqiu Maternity and Child Care Hospital, Jinan 250200, China.

Outpatient Department, Zhangqiu Maternity and Child Care Hospital, Jinan 250200, China.

出版信息

Evid Based Complement Alternat Med. 2021 Oct 28;2021:3135043. doi: 10.1155/2021/3135043. eCollection 2021.

Abstract

BACKGROUND

To observe the clinical effect of Pinggan Yiqi Yangshen recipe combined with labetalol hydrochloride and magnesium sulfate in the treatment of pregnancy-induced hypertension (PIH).

METHODS

A total of 126 patients with PIH diagnosed in our hospital from January 2016 to May 2018 were randomly divided into the control group and the experimental group, with 63 cases in each group. The control group was treated with labetalol combined with magnesium sulfate. On the basis of the control group, the experimental group was treated with Pinggan Yiqi Yangshen recipe. Clinical efficacy, blood pressure, renal function, and biochemical indexes were compared between the two groups. Moreover, pregnancy outcomes and adverse reactions were compared between the two groups.

RESULTS

After treatment, the total effective rate in the experimental group was higher than in the control group. Blood pressure and mean arterial pressure in the experimental group were more significantly downregulated than the control group. Renal function indexes and biochemical indexes in the experimental group were more significant than those in the control group. The incidence of cesarean section, preterm birth, and abnormal fetal heart rate in the experimental group was significantly lower than that in the control group. There was no difference in the incidence of fetal distress, postpartum hemorrhage, neonatal asphyxia, and adverse reactions between the two groups.

CONCLUSION

Pinggan Yiqi Yangshen recipe combined with labetalol hydrochloride and magnesium sulfate can effectively reduce the blood pressure of patients with PIH, help patients to return to normal levels of biochemical indexes and renal function indexes, and improve pregnancy outcomes with high safety, which is worthy of further promotion and application in clinical practice.

摘要

背景

观察平肝益气养神方联合盐酸拉贝洛尔及硫酸镁治疗妊娠期高血压疾病(PIH)的临床疗效。

方法

选取2016年1月至2018年5月在我院确诊的126例PIH患者,随机分为对照组和试验组,每组63例。对照组采用拉贝洛尔联合硫酸镁治疗。试验组在对照组基础上采用平肝益气养神方治疗。比较两组的临床疗效、血压、肾功能及生化指标。此外,比较两组的妊娠结局及不良反应。

结果

治疗后,试验组总有效率高于对照组。试验组血压及平均动脉压较对照组下调更显著。试验组肾功能指标及生化指标改善更显著。试验组剖宫产、早产及胎儿心率异常发生率显著低于对照组。两组胎儿窘迫、产后出血、新生儿窒息及不良反应发生率无差异。

结论

平肝益气养神方联合盐酸拉贝洛尔及硫酸镁能有效降低PIH患者血压,帮助患者生化指标及肾功能指标恢复正常水平,改善妊娠结局,安全性高,值得临床进一步推广应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81f0/8568534/09230e6fc401/ECAM2021-3135043.001.jpg

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