宫缩抑制剂治疗早产的临床效果分析.docVIP

精品论文 参考文献 宫缩抑制剂治疗早产的临床效果分析 四川省雅安市天全县人民医院 蔺萍 　　【摘要】目的 探讨宫缩抑制剂治疗早产的临床效果。方法 将我院收治的40例早产产妇随机分成对照组和治疗组。对照组使用硫酸镁进行治疗，治疗组使用盐酸利托君进行治疗，比较两组产妇的治疗效果。结果 治疗组在显效时间、延长孕周时间等方面均优于对照组，且Plt;0.05；治疗组保胎成功率为95.00%，对照组为70.00%，治疗组保胎成功率高于对照组，且Plt;0.05；两组的新生儿情况、妊娠结局等方面无明显差异，Pgt;0.05；治疗组的不良反应率为10.00%，对照组为40.00%，治疗组低于对照组，且Plt;0.05。结论 在治疗早产中盐酸利托君和硫酸镁均有一定的效果，但是盐酸利托君效果更为显著，其显效时间短，不良反应少，具有较高的保胎成功率，值得推广。 　　【关键词】宫缩抑制剂；早产；临床效果 　　Tocolytic treatment of preterm labor clinical effectiveness analysis 　　【Abstract】 Objective To investigate the clinical effects of tocolytic treatment of preterm labor. Methods our hospital, 40 cases of preterm mothers were randomly divided into control and treatment groups. In the control group were treated with magnesium sulfate, treated with hydrochloric acid ritodrine treatment, maternal treatment were compared. Results The treatment group markedly time, longer gestation period were better than the control group, and P lt;0.05; treatment success rate of 95.00 percent anti-abortion group, the control group was 70.00%, higher than the success rate of the treatment group miscarriage lt;; no two groups of newborns, pregnancy outcomes and other aspects of significant differences, P 0.05gt; 0.05;, and P adverse treatment group was 10.00%, 40.00% in the control group, the treatment group than the control group, and P lt;0.05. Conclusions hydrochloride in the treatment of preterm labor ritodrine and magnesium sulfate have some effect, but the effect of ritodrine hydrochloride is more significant, its markedly short time, fewer adverse reactions, with high success rates of miscarriage, worthy of promotion. 　　【Key words】 Tocolytics; preterm; clinical effect 　　前言 　　早产指的是妊娠已满28周而不足37周的分娩，其在产科中是一种常见的妊娠时限性疾病，同时也是导致围生期发病率及死亡率升高的主要因素。在临床上早产主要表现为子宫收缩，早期为不规律宫缩，随着时间的延长发展成规律宫缩，大部分因产妇子宫畸形、子宫过度膨胀及胎盘因素、下生殖道及泌尿系感染等因素造成[1-2]。当前，治疗早产通常应用宫缩抑制剂进行治疗，其在抑制子宫收缩、延长胎儿在宫内的时间以及改善新生儿的结局等方面发挥重要作用。为此，我院采取了盐酸利托君及硫酸镁等两种宫缩抑制剂治疗早产，同时比较该两种药物的治疗效果，取得了满意的成绩，现报告如下。 　　1.一般资料与方法 　　1.1一般资料 　　选取2013年2月至2014年12月在我院进行早产