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目的探讨妊娠期高血压疾病并发两种类型HELLP综合征更有效的治疗方案。方法选择2010年1月-2015年1月唐山市妇幼保健院住院的HELLP综合征患者58例,分别探讨两种类型(完全型和部分型)HELLP综合征疾病诊断时、治疗7 d后孕妇(产妇)生化指标、硫酸镁用量、激素用量、血浆用量。结果疾病诊断时完全型较部分型HELLP综合征孕妇生化指标更为严重,但积极治疗7 d后二者孕妇的生化指标差异无统计学意义(P>0.05);治疗过程中完全型较部分型需要更多的激素与血浆,但硫酸镁用量无明显差异。结论妊娠期高血压疾病并发两种类型HELLP综合征终止妊娠后,解痉的同时积极使用激素及血浆有助于疾病的预后。
Objective To investigate the more effective treatment of Hypertensive disorder complicating pregnancy with two types of HELLP syndrome. Methods From January 2010 to January 2015, 58 cases of HELLP syndrome admitted to Tangshan MCH hospital were enrolled in the study. Two types of HELLP syndrome (complete and partial) Maternal) biochemical indicators, magnesium sulfate dosage, hormone dosage, plasma dosage. Results The biochemical indexes of the complete type of HELLP syndrome were more serious when the disease was diagnosed, but there was no significant difference in the biochemical indexes of pregnant women between the two groups after 7 days of active treatment (P> 0.05). The complete type was more partial type Need more hormones and plasma, but no significant difference in the amount of magnesium sulfate. Conclusion Hypertensive pregnancy complicating two types of HELLP syndrome termination of pregnancy, antispasmodic active use of hormones and plasma contribute to the prognosis of the disease.