Zhang Min, Ren Xiaoxuan, Song Dianrong
The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin City, China.
BMC Pregnancy Childbirth. 2025 Feb 27;25(1):215. doi: 10.1186/s12884-025-07314-8.
This study aimed to analyze the impact of aspirin combined with labetalol on coagulation function and pregnancy outcomes in women with pre-eclampsia.
A total of 98 pregnant women with pre-eclampsia admitted to our hospital from September 2019 to March 2021 were selected for the retrospective analysis. Patient records were reviewed and divided into a control group (n = 49) who received labetalol and an observation group (n = 49) who received aspirin combined with labetalol. Extracted from the case collection system and observed: clinical efficacy, occurrence of adverse pregnancy outcomes, and adverse reactions.
The total effective rate in the observation group was higher than that in the control group. After treatment, the observation group had lower systolic blood pressure, diastolic blood pressure, D-D, Scr, β2-MG, and MA levels compared to the control group, and higher TT, PT and APTT levels. The occurrence rate of adverse pregnancy outcomes such as preterm delivery, intrauterine distress, postpartum hemorrhage, and fetal heart abnormalities was lower in the observation group than in the control group. There were no statistically significant differences in adverse reactions such as nausea, vomiting, hypotension, ocular tremor, and facial flushing between the two groups.
Aspirin combined with labetalol has ideal therapeutic efficacy in women with pre-eclampsia. It can enhance the antihypertensive effect, improve the coagulation status of the body, protect renal function, improve adverse pregnancy outcomes, and is considered safe and reliable, deserving adoption.
本研究旨在分析阿司匹林联合拉贝洛尔对子痫前期妇女凝血功能及妊娠结局的影响。
选取2019年9月至2021年3月我院收治的98例子痫前期孕妇进行回顾性分析。查阅患者病历并分为对照组(n = 49),接受拉贝洛尔治疗;观察组(n = 49),接受阿司匹林联合拉贝洛尔治疗。从病例收集系统中提取并观察:临床疗效、不良妊娠结局的发生情况及不良反应。
观察组总有效率高于对照组。治疗后,观察组收缩压、舒张压、D - 二聚体、血清肌酐、β2 - 微球蛋白和最大血小板聚集率水平低于对照组,凝血酶时间、凝血酶原时间和活化部分凝血活酶时间水平高于对照组。观察组早产、宫内窘迫、产后出血及胎儿心脏异常等不良妊娠结局发生率低于对照组。两组恶心、呕吐、低血压、眼球震颤及面部潮红等不良反应差异无统计学意义。
阿司匹林联合拉贝洛尔对子痫前期妇女有理想的治疗效果。可增强降压效果,改善机体凝血状态,保护肾功能,改善不良妊娠结局,且安全性可靠,值得推广应用。