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目的:研究探讨妊娠高血压综合症患者接受药物治疗的疗效和剖腹产终止妊娠的临床效果。方法:选择我院2011年1月-2014年1月我院收治的42例妊娠期高血压疾病患者,根据妊娠期高血压及子痫前期的处理原则不同进行对症治疗,对于妊娠期高血压的患者,采取休息、镇静等处理后,临床症状可以得到缓解;对于子痫前期处理,除一般的处理外,还要进行解痉、降压的治疗,必要时则需要终止妊娠;对于子痫患者则需要控制抽搐发作以及并发症的发生,在控制抽搐后应立即终止妊娠;妊娠合并慢性高血压患者的治疗就以降压为主。结果:42例患者中有15例进行剖腹产术终止妊娠高血压综合征,其余患者经过治疗后均进行分娩,全部康复出院。结论:对产妇确诊妊娠期高血压疾病后,应遵循镇静、解痉、降压、利尿的原则适时终止妊娠的原则。对于药物早期治疗后效果欠佳或伴随有并发症发生的应当采取剖腹产手术。利用剖腹产术终止妊娠高血压疾病可有效降低死胎率和新生儿死亡率,有效保证了产妇和新生儿的健康。
Objective: To investigate the clinical efficacy of drug treatment in patients with pregnancy induced hypertension and cesarean termination of pregnancy. Methods: Forty-two patients with hypertensive disorders of pregnancy admitted to our hospital from January 2011 to January 2014 were enrolled in the symptomatic treatment according to the treatment of gestational hypertension and preeclampsia. For gestational hypertension Patients, taking rest, sedation and other treatment, the clinical symptoms can be alleviated; for preeclampsia, in addition to the general treatment, but also for spasmolytic, antihypertensive treatment, if necessary, the need for termination of pregnancy; for eclampsia patients You need to control the occurrence of seizures and complications, termination of pregnancy immediately after the control of seizures; treatment of patients with pregnancy-induced hypertension in the treatment of blood pressure-based. Results: 15 of 42 patients underwent caesarean section to terminate pregnancy-induced hypertension syndrome. The rest of the patients were delivered after treatment and all were discharged. Conclusion: The diagnosis of gestational hypertension in pregnant women should follow the principle of sedation, spasmolytic, hypotensive and diuretic principles of timely termination of pregnancy. Caesarean section should be performed on patients who are ineffective or accompanied by complications after early treatment. The use of caesarean section to terminate hypertensive disorders of pregnancy can effectively reduce the stillbirth rate and neonatal mortality, effectively ensuring the health of mothers and newborns.