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妊高征是发生于妊娠中、晚期较常见的并发症.我们院妇产科1989～1993年采用硫酸镁和654—2联合用药治疗妊娠中、晚期中、重度妊高征30例,并与单纯用硫酸镁治疗48例进行对照,现报道如下.1 临床资料1.1 妊高征的诊断标准①患者既往无高血压、肾脏疾病及抽搐病史;②轻度妊高征;水肿Ⅱ°Ⅲ°、血压17/12kPa,或较基础血压升高4/2kPa,蛋白尿无或微量;③中度妊高征:血压在17/12kPa～21/15kPa之间,蛋白尿(+);④重度妊高征:血压达到或超过21/15kPa以上,蛋白尿≥(++),严重者少尿或无尿,出现头痛、视物不情、甚至抽搐.1.2 一般资料 本组78例中48例用单纯硫酸镁治疗,30例用硫酸镁与654—2联合用药,两组妊高征中、重度各占比例见表1.
Pregnancy and pregnancy-induced hypertension (PIH) is a common complication occurred in the middle and late pregnancy.Our hospital gynecology and obstetrics from 1989 to 1993, the combination of magnesium sulfate and 654-2 in the treatment of pregnancy, moderate and severe pregnancy-induced hypertension in 30 cases, and with Pure magnesium sulfate treatment of 48 cases were reported as follows.1 Clinical data 1.1 The diagnosis of PIH ① patients with no previous history of hypertension, kidney disease and convulsions; ② mild PIH; edema Ⅱ ° Ⅲ °, Blood pressure 17 / 12kPa, or basal blood pressure increased 4 / 2kPa, no or trace proteinuria; ③ moderate pregnancy-induced hypertension: blood pressure between 17 / 12kPa ~ 21 / 15kPa, proteinuria Symptoms: blood pressure reached or exceeded 21 / 15kPa above, proteinuria ≥ (++), severe oliguria or anuria, headache, depending on the material, or even convulsions .1.2 General Information The group of 78 patients in 48 cases with simple Magnesium sulfate treatment, 30 patients with magnesium sulfate and 654-2 combined treatment of pregnancy-induced hypertension in both groups, the proportion of each are shown in Table 1.