妊娠期高血压病患者产后降压治疗的效果分析

Analysis of the Effect of Postpartum Antihypertensive Therapy in Patients with Hypertensive Disorder Complicating Pregnancy

目的分析妊娠期高血压疾病患者产后抗高血压治疗的临床效果。方法回顾性分析2013年6月～2016年6月我院收治的124例妊娠期高血压疾病患者,按照是否进行抗高血压治疗分为观察组和对照组,观察组64例,对照组60例。观察组患者产后采用抗高血压治疗,对照组患者产后未进行治疗或者进行不规范的降压治疗,对两组患者血压水平进行比较。结果相对于对照组,观察组患者产后血压接近正常的时间更短,尿蛋白转阴更快,高血压遗留率相更低,差异具有统计学意义(P<0.05)。结论妊娠期高血压疾病的患者若产后血压和蛋白尿仍未正常,积极抗高血压治疗,能有效降低高血压的遗留率,促进恢复。

Objective To analyze the clinical effects of postpartum antihypertensive therapy in patients with hypertensive disorder complicating pregnancy.Methods A retrospective analysis of 124 patients with hypertensive disorder complicating pregnancy from June 2013 to June 2016 was divided into observation group and control group according to whether has been given antihypertensive treatment.64 cases in the observation group,the control group 60 cases.Patients in the observation group were treated with antihypertensive treatment after delivery,and patients in the control group were not treated after delivery or irregular antihypertensive treatment. The blood pressure levels of the two groups were compared. Results Compared with the control group, the postpartum blood pressure in the observation group was shorter,the proteinuria turned negative more quickly,and the left rate of hypertension was lower, the difference was statistically significant（P〈0.05）.Conclusion If the postpartum blood pressure and proteinuria are still not normal in patients with hypertensive disorder complicating pregnancy,active antihypertensive treatment can effectively reduce the residual rate of hypertension and promote recovery.