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目的 探讨重度妊高征围术期的不同降压方法对孕妇心、脑、肾并发症发生率的影响。方法 将 5 10例重度妊高征患者随机分为两组 ,治疗组 2 60例静脉应用降压药 ,对照组 2 5 0例口服应用降压药 ,观察孕妇心、脑、肾并发症发生情况。结果 治疗组孕妇心、脑、肾并发症发生率 3 .8% ,对照组并发症发生率 7.2 % ,治疗组明显低于对照组 (P <0 .0 5 )。结论 重度妊高征围术期静脉应用降压药较口服降压药可明显降低孕妇心、脑、痛并发症的发生率。
Objective To investigate the effect of different antihypertensive methods on the incidence of heart, brain and kidney complications in pregnant women during the perioperative period of severe PIH. Methods A total of 510 patients with severe PIH were randomly divided into two groups. Antihypertensive drugs were given to 240 patients in the treatment group and 250 patients in the control group were taken antihypertensive drugs orally to observe the incidence of heart, brain and kidney complications in pregnant women . Results The incidence of heart, brain and kidney complications in pregnant women was 3.8% in the treatment group and 7.2% in the control group, which was significantly lower in the treatment group than in the control group (P <0.05). Conclusions Perioperative intravenous antihypertensive drugs in patients with severe PIH can significantly reduce the incidence of heart, brain and pain complications in pregnant women compared with oral antihypertensive drugs.