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低剂量阿司匹林联合维生素 E 对妊娠期高血压患者宫内生长受限发生率及血液流变学指标的影响。

Effects of Low-Dose Aspirin Combined with Vitamin E on the Incidence of Intrauterine Growth Restriction and Hemorheological Indexes of Pregnant Women in Patients with Gestational Hypertension.

机构信息

First People's Hospital of Linping District, Hangzhou 311100, China.

出版信息

Comput Math Methods Med. 2022 Feb 21;2022:6328807. doi: 10.1155/2022/6328807. eCollection 2022.

Abstract

OBJECTIVE

To investigate the effect of low-dose aspirin combined with vitamin E on the incidence of intrauterine growth restriction and hemorheological indexes of pregnant women in patients with gestational hypertension.

METHOD

134 elderly patients with chronic urticaria treated in our hospital from November 2017 to November 2020 were studied. According to the treatment methods, they were randomly divided into observation and control groups. There were 67 patients in the observation group, aged 20-37 years, with an average of (25.7 ± 2.75) years. There were 67 patients in the control group, aged 21-35 years, with an average of (26.3 ± 3.17) years. No significant difference was observed between the two groups ( > 0.05).

RESULTS

The number of cases with postpartum hemorrhage and intrauterine growth restriction in the observation group was less than that in the control group. The total incidence rate was lower than that in the control group. There were significant differences in the above results ( < 0.05). The number of patients with preterm birth in the observation group was less than that in the control group, but there was no significant difference in the results ( > 0.05). The head circumference, abdominal circumference, biparietal diameter, and femoral length diameter in the control and observation groups increased significantly after treatment ( < 0.05). Compared with the control group, the head circumference, abdominal circumference, biparietal diameter, and femoral diameter in the observation group increased more after treatment, and the results were statistically poor ( < 0.05). The systolic blood pressure, diastolic blood pressure, and mean arterial pressure in the control and observation groups decreased significantly after treatment, and the results were statistically different ( < 0.05). Compared with the control group, the systolic blood pressure, diastolic blood pressure, and mean arterial pressure in the observation group decreased more after treatment. The results were statistically different ( < 0.05). The plasma viscosity levels, whole blood high shear viscosity, and whole blood low shear viscosity in the control and observation groups decreased significantly after treatment, and the results were statistically different ( < 0.05). Compared with the control group, plasma viscosity levels, whole blood high shear viscosity, and whole blood low shear viscosity in the observation group decreased more after treatment, and the results were statistically different ( < 0.05). The control and observation groups' fetal systolic/diastolic pressure and pulsatile index decreased significantly after treatment, and the results were statistically different ( < 0.05). Compared with the control group, the fetal systolic/diastolic blood pressure and pulsatile index in the observation group decreased more after treatment, and the results were statistically poor ( < 0.05).

CONCLUSION

Low-dose aspirin combined with vitamin E is effective in treating intrauterine growth restriction in patients with gestational hypertension. It can effectively control the blood pressure and blood flow of patients and newborns and improve pregnancy outcomes without increasing the incidence of adverse reactions. It is worthy of clinical promotion.

摘要

目的

探讨小剂量阿司匹林联合维生素 E 对妊娠期高血压患者宫内生长受限发生率及孕妇血流流变学指标的影响。

方法

选取我院 2017 年 11 月至 2020 年 11 月收治的 134 例老年慢性荨麻疹患者作为研究对象,按照治疗方法将其分为观察组和对照组,各 67 例。观察组患者年龄 20-37 岁,平均(25.7±2.75)岁;对照组患者年龄 21-35 岁,平均(26.3±3.17)岁。两组一般资料比较差异无统计学意义(>0.05)。

结果

观察组产后出血、宫内生长受限例数少于对照组,总发生率低于对照组,差异有统计学意义(<0.05)。观察组早产儿例数少于对照组,但差异无统计学意义(>0.05)。观察组治疗后头围、腹围、双顶径、股骨长径均较治疗前显著增加,差异有统计学意义(<0.05);观察组治疗后头围、腹围、双顶径、股骨长径增加较对照组更明显,差异有统计学意义(<0.05)。观察组治疗后收缩压、舒张压、平均动脉压均较治疗前显著降低,差异有统计学意义(<0.05);观察组治疗后收缩压、舒张压、平均动脉压降低较对照组更明显,差异有统计学意义(<0.05)。观察组治疗后血浆黏度、全血高切黏度、全血低切黏度均较治疗前显著降低,差异有统计学意义(<0.05);观察组治疗后血浆黏度、全血高切黏度、全血低切黏度降低较对照组更明显,差异有统计学意义(<0.05)。观察组治疗后胎儿收缩期/舒张期血流比值、搏动指数均较治疗前显著降低,差异有统计学意义(<0.05);观察组治疗后胎儿收缩期/舒张期血流比值、搏动指数降低较对照组更明显,差异有统计学意义(<0.05)。

结论

小剂量阿司匹林联合维生素 E 治疗妊娠期高血压患者宫内生长受限效果显著,能有效控制患者及新生儿血压、血流,改善妊娠结局,且不增加不良反应发生率,值得临床推广。

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