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瑞典产科医生如何管理妊娠期高血压。一项问卷调查研究。

How Swedish obstetricians manage hypertension in pregnancy. A questionnaire study.

作者信息

Lindberg B S, Sandström B

出版信息

Acta Obstet Gynecol Scand. 1981;60(3):327-31. doi: 10.3109/00016348109158141.

Abstract

One hundred and seventy-nine obstetricians in Sweden answered a questionnaire on the management of pregnant women with hypertension. A similar study on English practice has been published earlier. In mild hypertension, 33% of the obstetricians did not prescribe medical treatment at all, while in more severe cases almost all of them would recommend a combination of hydralazine and diuretics or betablockers. There was a considerable unanimity in the replies about what treatment a patient with hypertension could use or should stop using during pregnancy. In comparison with English obstetricians the Swedish colleagues seldom consider termination of pregnancy in hypertension during early pregnancy.

摘要

瑞典的179位产科医生回答了一份关于高血压孕妇管理的调查问卷。此前已经发表了一项关于英国做法的类似研究。在轻度高血压病例中,33%的产科医生根本不开具药物治疗,而在更严重的病例中,几乎所有人都会推荐肼屈嗪与利尿剂或β受体阻滞剂联合使用。对于高血压患者在孕期可以使用或应该停用何种治疗,回复意见相当一致。与英国产科医生相比,瑞典同行很少考虑在妊娠早期因高血压而终止妊娠。

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