芪菊当归芍药汤联合拉贝洛尔治疗妊娠高血压疾病的临床效果  

Clinical Effect of Qiju Danggui Shaoyao Decoction Combined with Labetalol in the Treatment of Gestational Hypertension

作　　者：宋莉 冯彦霞[1] 邢晓燕 SONG Li;FENG Yanxia;XING Xiaoyan(Tianshui Fourth People's Hospital,Gansu Tianshui 741020)

机构地区：[1]天水市第四人民医院,甘肃天水741020

出　　处：《深圳中西医结合杂志》2024年第13期33-36,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨芪菊当归芍药汤联合拉贝洛尔治疗妊娠高血压疾病(HDCP)的效果。方法:选取天水市第四人民医院2021年1月至2023年10月收治的HDCP患者90例,随机分为观察组与对照组,每组均为45例。对照组采取拉贝洛尔治疗,观察组采取芪菊当归芍药汤联合拉贝洛尔治疗。对比两组患者相关临床指标。结果:观察组患者治疗总有效率(93.88%)高于对照组(77.78%),差异具有统计学意义(P<0.05);治疗后观察组患者舒张压、收缩压、尿蛋白阳性率均低于对照组,差异具有统计学意义(P<0.05);两组患者不良反应发生率比较,差异无统计学意义(P>0.05);观察组新生儿不良结局发生率、产妇不良结局发生率均低于对照组,差异具有统计学意义(P<0.05)。结论:HDCP患者应用芪菊当归芍药汤联合拉贝洛尔治疗具有较为显著的疗效,可降低其血压水平及尿蛋白阳性率,安全性较高,且能够降低新生儿及产妇不良结局发生率。Objective To explore the effect of Qiju Danggui Shaoyao decoction combined with labetalol in the treatment of hypertensive disorders during pregnancy(HDCP).Methods Ninety patients with HDCP admitted to Tianshui Fourth People's Hospital from January 2021 to October 2023 were randomly divided into an observation group and a control group,with 45 patients in each group.The control group patients were treated with labetalol,while the observation group patients were treated with Qiju Danggui Shaoyao decoction combined with labetalol.The relevant clinical indicators of the two groups of patients were compared.Results The total effective rate of the observation group(93.88%)was higher than than of the control group(77.78%),and the difference was statistically significant(P<0.05).After treatment,the diastolic blood pressure,systolic blood pressure,and positive rate of urinary protein in the observation group were all lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).The incidence of neonatal adverse outcomes and maternal adverse outcomes were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The treatment of Qiju Danggui Shaoyao decoction combined with labetalol for HDCP patients has significant efficacy,which can reduce the blood pressure level and urinary protein positive rate,with high safety.It can also reduce the incidence of adverse outcomes in newborns and pregnant women.

关 键 词：妊娠期高血压疾病 芪菊当归芍药汤 拉贝洛尔 母婴结局 

分 类 号：R714.246[医药卫生—妇产科学]