硝酸甘油静脉点滴用于妊娠期高血压紧急降压的疗效观察  

Observation on Curative Effects of Intravenous Nitroglycerin on Emergency Decline of Blood Pressure in Patients with Gestational Hvoertension

作　　者：罗维 何素芳 

机构地区：[1]重庆西郊医院妇产科,中国重庆 400050

出　　处：《四川生殖卫生学院学报》2007年第5期11-12,共2页Journal of Sichuan Reproductive Health Institute

摘　　要：目的：观察静脉用硝酸甘油治疗妊娠期高血压的降压效果。方法：50例妊娠期高血压急症于产前或产后接受静滴硝酸甘油治疗，比较用药前后患者的血压和心率变化、新生儿Apgar评分情况。结果：用药后收缩压及舒张压下降均有极显著差异（P〈0．01），心率变化无显著差异（P〉0．05）。50例患者中，产前用硝酸甘油28例，新生儿轻度窒息4例，重度窒息l例；产后用硝酸甘油22例，新生儿轻度窒息2例，重度窒息l例，二者比较无显著差异（P〉0．05）。结论：硝酸甘油用于妊娠期高血压紧急降压治疗效果确切，血压平稳，未发现严重不良反应，对胎儿安全性好。Objective： To observe the effects of Intravenous Nitroglycerin on emergency decline of blood pressure in patients with gestational hypertension. Methods： Use Intravenous Nitroglycerin to treat 50 cases of patients with gestational hypertension before and after confinement separately and compare the changes of blood pressure heart rate and the Apgar scores of the new born children. Results： After the use of drugs, the declines of systolic pressure and diastolic pressure both have obvious differences （p〈0.01） while changes of heart rate have little difference （p〉0. 05）. Among 50 cases, before confinemente are 28 ones, 4 and 2 new born children suffer from mild asphyxia and serious asphyxia separately; after confinement are 22 cases, 2 and i new born children suffer from mild asphyxia and serious asphyxia sepa- rately. They have little difference （p〉0.05）. Conclusion： It is effective of Intravenous Nitroglycerin in curing emergency decline of blood pressure in patients with gestational hypertension.

关 键 词：硝酸甘油 妊娠高血压 

分 类 号：R711[医药卫生—妇产科学]