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目的:观察重度妊高征患者治疗前后内皮素(ET)及一氧化氮(NO)的变化与新生儿质量的关系。方法:分别采用放射免疫测定法及Greis法对42例重度妊高征患者解痉降压治疗前后血浆ET、血清NO的稳定代谢产物亚硝酸盐(硝酸盐)NO-2(NO-3)进行测定。结果:新生儿体重<2500g组及Apgar评分≤7分的妊高征(PIH)患者治疗前后ET及NO-2(NO-3)水平无显著差异(P>005);新生儿体重≥2500g及Apgar评分>7分的PIH孕妇治疗后ET水平低于治疗前(P<005),NO-2(NO-3)水平高于治疗前(P<005)。结论:加强围产期监测,早期发现早期治疗,是改善胎儿宫内生长发育、提高新生儿质量的关键
Objective: To observe the relationship between the changes of endothelin (ET) and nitric oxide (NO) before and after treatment and the quality of newborn infants with severe pregnancy-induced hypertension. Methods: 42 patients with severe PIH were treated with antispasmodic and antihypertensive therapy respectively by radioimmunoassay (RIA) and Greis method. Nitric oxide (NO) 2 (NO-2), a stable metabolite of plasma ET and serum NO, Determination. Results: There was no significant difference in the levels of ET and NO-2 before and after treatment (P> 005) in neonates with PIH <2500g and those with Apgar score ≤7. Neonatal weight ≥ The ET level of PIH with 2500g and Apgar score> 7 was lower than before treatment (P <005), NO-2 (NO-3) was higher than before treatment (P <005). Conclusion: To strengthen the monitoring of perinatal period, early detection of early treatment is to improve intrauterine growth and development, improve the quality of newborn key