论文部分内容阅读
目的探讨饮食控制联合药物治疗对肥胖型妊娠合并高血压孕妇血压控制及妊娠结局的影响。方法选取医院产检并分娩的肥胖型妊娠合并高血压孕妇80例作为研究对象,采用数字随机对照表将患者分为对照组和观察组,对照组予以饮食控制,观察组在对照组基础上予以碳酸钙、阿司匹林治疗,记录两组治疗前后舒张压、收缩压变化,对比两组妊娠结局。结果观察组分娩时收缩压和舒张压分别为(120.64±3.87)、(80.27±3.64)mm Hg,显著低于对照组,差异具有统计学意义(P<0.05);观察组剖宫产率和产后出血率分别为20.0%、2.5%,显著低于对照组,差异具有统计学意义(P<0.05);观察组巨大儿、新生儿窒息、胎儿畸形率分别为5.0%、2.5%、0.0%,显著低于对照组,差异具有统计学意义(P<0.05)。结论饮食控制联合碳酸钙、阿司匹林治疗肥胖型妊娠合并高血压孕妇,可有效控制血压,改善妊娠结局。
Objective To investigate the effect of diet control combined with drug treatment on blood pressure control and pregnancy outcome in obese pregnant women with hypertension. Methods 80 obese pregnant women with obesity pregnancy complicated with pregnancy were selected as research objects. The patients were divided into control group and observation group by digital randomized control table. The control group was given dietary control. The observation group was given carbonic acid Calcium, aspirin treatment, recorded before and after treatment, diastolic blood pressure, systolic blood pressure changes, compared two groups of pregnancy outcomes. Results The systolic blood pressure and diastolic blood pressure of the observation group during delivery were (120.64 ± 3.87) and (80.27 ± 3.64) mm Hg, respectively, which were significantly lower than those in the control group (P <0.05) The postpartum hemorrhage rates were 20.0% and 2.5%, respectively, which were significantly lower than those in the control group (P <0.05). The incidences of macrosomia, neonatal asphyxia and fetal malformation in the observation group were 5.0%, 2.5% and 0.0% , Significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusion Diet control combined with calcium carbonate and aspirin in the treatment of obese pregnant women with hypertensive pregnancy can effectively control blood pressure and improve pregnancy outcomes.