酚妥拉明治疗早发型重度子痫前期的观察及护理  

Observation and nursing of Phentolamine treating early onset severe pre-eclampsia

作　　者：白满[1] 曾三梅[1] 杨梅[1] 

机构地区：[1]广东医学院附属医院产科,广东湛江524001

出　　处：《中国妇幼保健》2009年第14期2002-2003,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨酚妥拉明治疗早发型重度子痫前期的效果及护理。方法:将早发型重度子痫前期孕妇195例随机分为实验组98例与对照组97例,实验组采用酚妥拉明联合硝苯地平降压治疗,对照组采用硫酸镁联合硝苯地平降压治疗。观察两组孕妇的收缩压、舒张压的变化,终止妊娠时间,分娩方式,新生儿Apgar评分及不良反应。结果:实验组与对照组比较,收缩压、舒张压明显降低(P<0.05),妊娠时间显著延长(P<0.05),剖宫产率,新生儿窒息率显著降低(P<0.01)。结论:酚妥拉明治疗早发型重度子痫前期的严重高血压,在给药过程中,根据血压调控药物剂量,效果显著,对母儿安全。Objective： Approach effect and nursing of Phentolamine treating early onset severe pre - eclampsia. Methods： 195 patients with early onset severe pre - eelampsia were divided into observed group （98 patients） and control group （97 patients）.. Patients in observed group were treated by Phentolamine and Nifedipine; patients in control group were treated by Magnesium sulfate and Nifedipinc. Observed the variance of contractive pressure and diastolic blood pressure; time of termination of pregnancy, modality of delivery, Ap- gar score and adverse effect of neonates. Results ： Contractive pressure and diastolic blood pressure of patients in control group were descended conspicuously than that in observed group. Time of termination of pregnancy in control group were significant prolongation, rate of uterine - incision delivery and apnea neonatorum were descended conspicuously. Conclusion ： During phentolamine treating early onset severe pre - eelampsia, regulated dosage of medicine on the basis of blood pressure, the effect is significant and is safety to parturient and foetus.

关 键 词：酚妥拉明 子痫前期 硝苯地平 高血压 

分 类 号：R714.245[医药卫生—妇产科学]