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大约有10%的妊妇,患有不同程度的高血压(包括妊高症,原发性高血压,慢性肾炎等)。如何使用和选择降压药,本文收集了部分有关材料介绍如下。一、用药条件Cnesley报告用药时必须考虑对胎儿的影响,降压幅度太大,不但影响全身重要器官的血流量,也影响胎盘灌注量,因此主张舒张压在110以上时开始用药,使舒张压保持在90～100之间,不宜使降压幅度在20%以上。日本一些医院也依照这一原则,在BP160/110以上时使用降压药。近年来,也有在轻度高血压时开始用药的报告。Radman用甲基多巴治疗妊高症,尽管未能阻止尿蛋白和水肿的发生,但却减少了胎儿死亡。Rubin使用心得安,减少了蛋白尿,新生儿呼吸窘迫综合征和早产的发生。肖温温报告慢性高血压合并妊娠,早期服用降压灵或甲基多巴,妊高
About 10% of pregnant women, suffering from varying degrees of hypertension (including pregnancy-induced hypertension, essential hypertension, chronic nephritis, etc.). How to use and choose antihypertensive drugs, this article collected some of the materials described below. First, medication conditions Cnesley report medication must be considered when the impact on the fetus, step-down range is too large, not only affect the body’s vital organs, blood flow, but also affect the amount of placental perfusion, it is advocated diastolic blood pressure in the 110 and began to medication, diastolic Maintained between 90 to 100, not to step-down range of 20% or more. Some Japanese hospitals are also in accordance with this principle, the use of antihypertensive drugs BP160 / 110 above. In recent years, there have been reports of starting medication when mild hypertension is present. Radman treatment of pregnancy-induced hypertension with methyldopa, although not prevent the occurrence of urinary protein and edema, but reduced fetal death. Rubin used propranolol, reducing proteinuria, neonatal respiratory distress syndrome and premature birth. Shaw temperature reported chronic hypertension with pregnancy, early taking warfarin or methyldopa, pregnancy-induced hypertension