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[尼立替林(Dilatol)对孕期心血管系统的影响]

[Cardiovascular effects of nylidrin (Dilatol) in pregnancy].

作者信息

Retzke U, Schwarz R, Barten G

出版信息

Zentralbl Gynakol. 1976;98(17):1059-65.

PMID:983483
Abstract

8 normotensive late pregnant women were examined before, during and after the intravenous administration of nylidrin (Dilatol) with the method of quantitative sphygmometry, the bloodless graphic registration of the arterial blood pressure and the direct electronic timing of pulse wave velocity. Systolic blood pressure remains unchanged; mean and diastolic blood pressure and total peripheral resistance decrease. Simultaneously heart rate, stroke volume and above all cardiac output increase. The hemodynamic mode of action of nylidrin is a favourable one in regard to the perfusion of tissues in pregnancy, because the fall of total peripheral resistance is much more pronunciated than the decrease of blood pressure. Therefore there are no objections to a tocolytic treatment with nylidrin in normotensive pregnant women on the part of cardiovascular system.

摘要

8名血压正常的晚期孕妇在静脉注射尼立替林(Dilatol)之前、期间和之后,采用定量血压测量法、动脉血压无血图形记录法以及脉搏波速度直接电子计时法进行了检查。收缩压保持不变;平均血压、舒张压和总外周阻力降低。同时心率、每搏输出量,尤其是心输出量增加。就孕期组织灌注而言,尼立替林的血流动力学作用模式是有利的,因为总外周阻力的下降比血压的下降更为明显。因此,从心血管系统的角度来看,对于血压正常的孕妇使用尼立替林进行安胎治疗没有异议。

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