Diagnosis and treatment of pregnancy induced hypertension

Giving birth to a child is the most painful thing in a woman's life, but also the happiest thing in her life. Many diseases will accompany a woman's pregnancy, such as many gynecological diseases, pregnancy-induced hypertension syndrome, etc. The following is an introduction to the diagnosis and treatment of pregnancy-induced hypertension. Women who have related questions can refer to it.

Treatment according to different stages

1. Mild gestational hypertension: All patients should be followed up in the outpatient clinic, have adequate rest, lie on the left side, and do not need to restrict sodium intake. Phenobarbital can be used at night to facilitate sleep. Chinese medicine can be modified with Qiju Dihuang Decoction. The prescription is: 12g of raw rehmannia, 9g of cornus fruit, 12g of yam, 12g of poria, 6g of moutan bark, 12g of oriental water plantain, 9g of wolfberry, 12g of chrysanthemum, and 12-30g of Uncaria rhynchophylla (added last). Treatment with the above Chinese medicine can improve symptoms and lower blood pressure to varying degrees.

2. Moderate gestational hypertension: rest in the left lateral position and take antispasmodics, sedatives and oral antihypertensive drugs. When using traditional Chinese medicine, you can add or reduce the ingredients on the basis of Qiju Dihuang Decoction.

(1) Antispasmodics: Orally take 300 mg of antelope horn powder, or take 9-12 g of earthworm and 1.5 g of scorpion (taken later).

(2) Liver-soothing and Yang-inhibiting drugs: 30g of dragon bone, 30g of oyster, 30g of stone cassia seed, and 30g of mother of pearl. All four herbs must be decocted first.

(3) Blood-activating and stasis-removing drugs: Chinese Angelica 9-12g, Salvia miltiorrhiza 9-12g, Red Peony Root 9g, Cirsium 15-30g, Cirsium 15g.

If outpatient treatment is ineffective, hospitalization should be carried out according to the above principles.

3. Severe gestational hypertension: Take immediate and active measures for patients with preeclampsia to prevent eclampsia and other serious complications.

(1) Stay in bed and avoid exposure to sound and light.

(2) Measure blood pressure every 2 to 4 hours. Reduce the blood pressure measurement at night to avoid affecting rest. Urinalysis should be performed once a day to accurately record the amount of water intake and output. Fundus examination, electrocardiogram and blood biochemical tests should also be performed. If conditions permit, echocardiography can be performed to facilitate early detection of abnormal heart function.

(3) Drug treatment: Drug selection and application are carried out according to the above methods. Obvious headache indicates increased intracranial pressure and requires rapid intravenous drip of 250 ml of 20% mannitol. For patients with anemia, severe edema and low hematocrit, blood transfusion, or component blood transfusion, or albumin transfusion should be given, and diuretics should be given at the same time, which can significantly improve the condition.

The above are the diagnosis and treatment methods of pregnancy syndrome in several situations. I hope that patients will choose the right method according to their specific situation and not be blind, so as to avoid unnecessary harm to their bodies. It is recommended that women go to a regular hospital for a comprehensive check-up accompanied by their family members to get rid of the troubles of the disease.