妊娠期高血压疾病患者产后抗高血压治疗的探讨

A preliminary study on postpartum anti-hypertension treatment in patients with pregnant hypertension syndrome

目的探讨妊娠期高血压疾病患者产后抗高血压治疗意义。方法对2010～2011年中3 231例分娩产妇进行观察。对其中的424例合并有妊娠期高血压的产妇进行前瞻性对照观察。根据产妇对抗高血压治疗的依从性分为对照组和非对照组,对两组产妇产后高血压的转归进行分析,经统计学处理,探讨其意义。结果治疗组产后高血压恢复正常时间短,尿蛋白转阴快,高血压遗留率低。结论妊娠期高血压孕妇产后高血压及蛋白尿并未恢复正常,产后继续抗高血压治疗可加快妊娠期高血压疾病患者的早日康复,降低高血压遗留率。

Objective To discuss the significance of postpartum anti-hypertension treatment in patients with pregnant hypertension syndrome.Methods The clinical data of 3231 cases of postpartum puerperants during 2010 to 2011 were retrospectively analyzed.Among them,424 patients with pregnant hypertension syndrome were undergone prospective control observation.According to maternal compliance to the treatment,they were divided into trial group and control group,the outcome of postpartum hypertension in patients of these 2 groups were statistically compared and analyzed.Results Among patients in trial group,the duration for high blood pressure returned to normal after treatment was short,urine protein quickly returned to normal,and the residual rate of high blood pressure was low.Conclusion Among pregnant women with pregnant hypertension syndrome,their high blood pressure and proteinuria were usually not returned to normal during postpartum period,hence anti-hypertension treatment should be continued,thus it can speed up the recovery of pregnant women with pregnant hypertension syndrome and reduce the residual rate of high blood pressure.