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Effect of Magnesium Sulfate Combined with Phentolamine and Nifedipine for Gestational Hypertension and Serum Levels of LIF and Apelin.
J Coll Physicians Surg Pak. 2019 Mar; 29(3):231-234.JC

Abstract

OBJECTIVE

To investigate the effect of magnesium sulfate combined with phentolamine and nifedipine for the treatment of gestational hypertension and on the levels of serum LIF and Apelin.

STUDY DESIGN

An experimental study.

PLACE AND DURATION OF STUDY

Obstetrics and Gynecology Clinics, The Affiliated Hospital North China University of Science and Technology, China, from September 2016 to February 2018.

METHODOLOGY

One hundred and sixty patients with gestational hypertension were randomly divided into a control group and an observation group, 80 patients in each group. Control group was given magnesium sulfate alone, while observation group was added with phentolamine and nifedipine on the basis of the treatment in control group. Curative effects, pregnancy outcomes, and levels of serum LIF and Apelin were compared.

RESULTS

The total effective rate of treatment in the observation group was higher than that in the control group (p=0.005). After treatment, level of serum LIF in the observation group was higher than that in the control group (p<0.001), and level of serum Apelin in the observation group was lower than that in the control group (p<0.001). Incidence of premature birth, cesarean section and neonatal asphyxia in the observation group were all lower than those in the control group (p=0.005, p<0.001 and p=0.005, respectively), while there was no significant difference in the incidence of neonatal death between the two groups (p=0.316).

CONCLUSION

Magnesium sulfate combined with phentolamine and nifedipine has a better therapeutic effect on gestational hypertension, which can effectively regulate the levels of serum LIF and Apelin and improve pregnancy outcomes.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, The Affiliated Hospital North China University of Science and Technology, HeBei Province, 063000, China.Department of Gynecology, The Second Affiliated Hospital of Medical College of Zhejiang University, 310000, China.

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

30823948

Citation

Wen, Jie, and Xiaojing Li. "Effect of Magnesium Sulfate Combined With Phentolamine and Nifedipine for Gestational Hypertension and Serum Levels of LIF and Apelin." Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, vol. 29, no. 3, 2019, pp. 231-234.
Wen J, Li X. Effect of Magnesium Sulfate Combined with Phentolamine and Nifedipine for Gestational Hypertension and Serum Levels of LIF and Apelin. J Coll Physicians Surg Pak. 2019;29(3):231-234.
Wen, J., & Li, X. (2019). Effect of Magnesium Sulfate Combined with Phentolamine and Nifedipine for Gestational Hypertension and Serum Levels of LIF and Apelin. Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 29(3), 231-234. https://doi.org/10.29271/jcpsp.2019.03.231
Wen J, Li X. Effect of Magnesium Sulfate Combined With Phentolamine and Nifedipine for Gestational Hypertension and Serum Levels of LIF and Apelin. J Coll Physicians Surg Pak. 2019;29(3):231-234. PubMed PMID: 30823948.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of Magnesium Sulfate Combined with Phentolamine and Nifedipine for Gestational Hypertension and Serum Levels of LIF and Apelin. AU - Wen,Jie, AU - Li,Xiaojing, PY - 2018/06/19/received PY - 2018/09/28/accepted PY - 2019/3/3/entrez PY - 2019/3/3/pubmed PY - 2019/6/30/medline SP - 231 EP - 234 JF - Journal of the College of Physicians and Surgeons--Pakistan : JCPSP JO - J Coll Physicians Surg Pak VL - 29 IS - 3 N2 - OBJECTIVE: To investigate the effect of magnesium sulfate combined with phentolamine and nifedipine for the treatment of gestational hypertension and on the levels of serum LIF and Apelin. STUDY DESIGN: An experimental study. PLACE AND DURATION OF STUDY: Obstetrics and Gynecology Clinics, The Affiliated Hospital North China University of Science and Technology, China, from September 2016 to February 2018. METHODOLOGY: One hundred and sixty patients with gestational hypertension were randomly divided into a control group and an observation group, 80 patients in each group. Control group was given magnesium sulfate alone, while observation group was added with phentolamine and nifedipine on the basis of the treatment in control group. Curative effects, pregnancy outcomes, and levels of serum LIF and Apelin were compared. RESULTS: The total effective rate of treatment in the observation group was higher than that in the control group (p=0.005). After treatment, level of serum LIF in the observation group was higher than that in the control group (p<0.001), and level of serum Apelin in the observation group was lower than that in the control group (p<0.001). Incidence of premature birth, cesarean section and neonatal asphyxia in the observation group were all lower than those in the control group (p=0.005, p<0.001 and p=0.005, respectively), while there was no significant difference in the incidence of neonatal death between the two groups (p=0.316). CONCLUSION: Magnesium sulfate combined with phentolamine and nifedipine has a better therapeutic effect on gestational hypertension, which can effectively regulate the levels of serum LIF and Apelin and improve pregnancy outcomes. SN - 1681-7168 UR - https://www.unboundmedicine.com/medline/citation/30823948/Effect_of_Magnesium_Sulfate_Combined_with_Phentolamine_and_Nifedipine_for_Gestational_Hypertension_and_Serum_Levels_of_LIF_and_Apelin_ DB - PRIME DP - Unbound Medicine ER -