不同方法治疗早发型子痫前期临床疗效分析.docVIP

不同方法治疗早发型子痫前期的临床疗效分析 　　【摘要】 目的：探讨不同治疗方法对早发型子痫前期的临床疗效。方法：抽取来本院就诊的96例发型子痫前期孕妇，随机分为三组，硫酸镁组、硫酸镁+LMWH组、硫酸镁+LMWH+SM组，每组各32例。通过观察三组妊娠结局、血压变化、APTT值、新生儿情况等来判断三组的临床疗效。结果：三组患者血压、APTT值的治疗前后比较，差异均有统计学意义（P0.05）；硫酸组的新生儿窒息发生率最高达62.5%，存活率最低只有87.5%，与其他两组比较差异均有统计学意义（P0.05）。三组患者的治疗时间及新生儿体重两两比较，均无明显差异。结论：硫酸镁+低分子肝素+丹参联合治疗早发型子痫前期效果最佳，值得临床推广应用。 　　【关键词】 早发型子痫前期； 硫酸镁； 低分子量肝素； 丹参 　　Clinical Analysis of Different Methods in the Treatment of Early Onset Preeclampsia/GU Xi.//Medical Innovation of China，2015，12（04）：044-046 　　【Abstract】 Objective：To investigate the clinical efficacy of different treatment methods on early onset preeclampsia.Method：96 cases of early pregnant women in the sampled in our hospital， were randomly divided into three groups， the group of magnesium sulfate， magnesium sulfate and low molecular heparin group（magnesium sulfate+LMWH group）， magnesium sulfate+low molecular weight heparin+Salvia miltiorrhiza group （magnesium sulfate+LMWH+SM group），32 cases in each group.Through the observation of pregnancy outcome， the changes of blood pressure， APTT value， newborn and to determine the clinical effects of the three groups.Result：Three groups of patients with blood pressure and APTT value were compared before and after treatment，the differences were statistically significant（P0.05）； magnesium sulfate group of neonatal asphyxia incidence was highest of 62.5% and the neonatal survival rate was the lowest of 87.5%，compared with other two groups had significant difference （P0.05）。Three groups of patients with treatment time and neonatal weight were compared，there were no significant differences.Conclusion：Magnesium sulfate+low molecular weight heparin+salvia miltiorrhiza combined treatment of early onset preeclampsia have best effect，worthy of clinical application. 　　【Key words】 Early onset preeclampsia； Magnesium sulfate； Low molecular weight heparin； Salvia miltiorrhiza 　　First-author’s address：Shenyang Women’s and Children’s Hospital，Shenyang 110011，China 　　doi：10.3969/j.