Spinapolice R X, Feld S, Harrigan J T
Am J Obstet Gynecol. 1983 May 15;146(2):166-8. doi: 10.1016/0002-9378(83)91047-5.
The supine pressor (rollover) test was performed on a population of nulliparous patients between 28 and 32 weeks' gestation. Sixteen patients with abnormal test results were treated with increased rest in the left lateral recumbent position. Only one of this group developed gestational hypertension at term (6%), the rest remaining normotensive through delivery. A control group of 16 patients with abnormal test results were left untreated. Three patients of this group (19%) remained normotensive while 13 patients developed hypertensive complications (81%). Of the 13 patients who had hypertensive problems, nine developed preeclampsia and the remaining four had pregnancy-induced hypertension. A significant decrease was noted in the incidence of hypertensive complications in the patients treated with increased rest in the left lateral recumbent position when compared with the incidence in the control group and a composite of untreated patients in other studies. This treatment plan affords an economical approach for treatment of those at high risk for developing gestational hypertension and/or preeclampsia.
对一群孕28至32周的未生育患者进行了仰卧位升压（翻转）试验。16名试验结果异常的患者接受了增加左侧卧位休息的治疗。该组中只有1名患者足月时发生妊娠高血压（6%），其余患者直至分娩血压均正常。另一组16名试验结果异常的患者作为对照组未接受治疗。该组中有3名患者（19%）血压保持正常，而13名患者（81%）出现了高血压并发症。在这13名有高血压问题的患者中，9名发展为子痫前期，其余4名患有妊娠高血压。与对照组以及其他研究中未治疗患者的综合情况相比，增加左侧卧位休息治疗的患者中高血压并发症的发生率显著降低。该治疗方案为治疗有发生妊娠高血压和/或子痫前期高风险的患者提供了一种经济的方法。
