低分子右旋糖酐在妊娠高血压并发心力衰竭治疗中的疗效分析

Effect analysis of dextran on pregnancy-induced hypertension complicated by heart failure

目的:探讨低分子右旋糖酐在妊娠高血压并发心力衰竭中的治疗效果。方法:选取我院产科收治84例妊娠高血压并发心力衰竭患者分为研究组和对照组,对照组采用解痉、利尿、强心等常规治疗,研究组在对照组基础上加用低分子右旋糖酐,比较两组患者治疗前后血压、心率及疗效。结果:治疗前两组患者收缩压、舒张压、心率比较无统计学意义(P>0.05);治疗后研究组患者收缩压、舒张压及心率均低于对照组(P<0.05)。研究组患者治疗总有效率97.68%高于对照组85.37%(P<0.05)。结论:低分子右旋糖酐治疗妊娠高血压并发心力衰竭患者可维持患者血容量,稳定患者血流动力学稳定,提高治疗效果。

Objective： To investigate the effect of dextran on the treatment of patients with pregnancy- induced hypertension complicated by heart failure. Methods： 84 cases of pregnancy-induced hypertension complicated by heart failure patients admitted into our department were randomized into the experimental group and control group. The control group adopted such conventional treatment as antispasmodic, diuretic and cardiotonic therapies, while the experimental group applied dextran to curing the patients on the basis of conventional treatment. Then the blood pressure, heart rate and efficacy of patients in both groups were compared before and after the treatment. Results： There were no significant differnces of the systolic blood pressure, diastolic blood pressure, heart rate in both groups before the treatment （P 〉 0.05）, but after treatment, the systolic pressure, diastolic blood pressure and heart rate in the experimental group were lower than those of the control group, （P 〈 0.05）. The total effective rate in the experimental group was 97.65%, higher than 85.37% in the control group （P 〈 0.05）. Conclusion： The treatment of patients with pregnancy- induced hypertension complicated by heart failure with dextran can maintain the blood volume and the stable hemodynamics, and improve the curative effect as well.