酚妥拉明与硫酸镁治疗先兆子痫应用效果对照观察及评价.docVIP

精品论文 参考文献 酚妥拉明与硫酸镁治疗先兆子痫应用效果对照观察及评价 湖南省岳阳市妇幼保健院 414000 【摘 要】目的：研究酚妥拉明与硫酸镁治疗先兆子痫应用效果。方法：病例来源：我院2013年4月-2015年2月住院接受治疗的100例先兆子痫产妇。产妇分组方法：随机抽签法。100例产妇分为L组和F组两个组别。L组以硫酸镁治疗；F组以酚妥拉明治疗。观察指标：（1）自然分娩率、剖宫产率；（2）胎儿宫内窘迫率、新生儿窒息率；（3）治疗前和治疗后产妇舒张压的差异、平均治疗时间。结果：（1）F组相比于L组自然分娩率更高，剖宫产率更低，X2统计处理有显著差异，P＜0.05；（2）F组、L组胎儿宫内窘迫率相似，X2统计处理无显著差异，P＞0.05，但F组新生儿窒息率明显低于L组，X2统计处理有显著差异，P＜0.05；（3）治疗前两组舒张压相似，t统计处理无显著差异，P＞0.05；治疗后F组相比于L组舒张压改善更显著，且F组平均治疗时间更短，t统计处理有显著差异，P＜0.05。结论：酚妥拉明与硫酸镁治疗先兆子痫均有一定疗效，但酚妥拉明效果更显著，可更快降低血压，提高自然分娩率，改善新生儿结局，缩短疗程，值得推广。 【关键词】酚妥拉明；硫酸镁；先兆子痫；应用效果 【 abstract 】 objective：to study the phentolamine and application effect of magnesium sulfate in the treatment of preeclampsia.Methods：the cases of sources：from April 2013 - February 2015 in the hospital for treatment of 100 cases of preeclampsia women.Maternal grouping method：random draw method.100 cases of maternal divided into L groups and group F two groups.L group was treated with magnesium sulfate；F group was treated with phentolamine.Observation indexes：（1）the natural births，cesarean section rate；（2）the rate of fetal distress and neonatal asphyxia rate；（3）maternal diastolic blood pressure difference before and after treatment，the average treatment time.Results：（1）group F natural births is higher than L group，lower cesarean section rate，X2 statistics treatment have significant difference，P lt; 0.05；（2）F，L group similar rate of fetal distress，X2 statistic treatment，there was no significant difference（P gt; 0.05，but the group F neonatal asphyxia rate was lower than that in group L，X2 statistics treatment have significant difference，P lt; 0.05；（3）the diastolic pressure is similar，the two groups before treatment t statistic treatment，there was no significant difference（P gt; 0.05；After treatment group F diastolic blood pressure improved more significantly than L group，and group F the average treatment time is shorter，t deal with statistics，there are significant differences，P lt; 0.05）.Conclusion：phentolamine and magnesium sulfate