地屈孕酮片治疗黄体功能不全所致先兆流产临床观察.docVIP

地屈孕酮片治疗黄体功能不全所致先兆流产临床观察 　　[摘要]目的 探讨地屈孕酮片治疗黄体功能不全所致先兆流产的临床效果。方法 选择2015年6月21日～2016年6月20日在我院就诊的黄体功能不全型先兆流产患者60例，依照入院的顺序进行分组，将其分为分为常规组、实验组，每组30例。其中对实验组采取地屈孕酮片治疗，对常规组采取黄体酮注射液治疗，对比两组患者的治疗效果。结果 实验组与常规组的保胎成功率分别为90.00%与86.67%，差异无统计学意义（P0.05）；实验组与常规组的不良反应发生率分别为16.67%、56.67%，两组不良反应发生率比较，差异有统计学意义（P0.05）；治疗后实验组的血清P、E2水平均明显低于常规组，差异有统计学意义（P0.05）。结论 对黄体功能不全所致先兆流产患者采取地屈孕酮片治疗的效果显著，药物安全性较高，便于改善患者的临床症状，值得在临床中广泛应用。 　　[关键词]黄体功能不全；先兆流产；地屈孕酮片；治疗 　　[中图分类号] R714 [文献标识码] A [文章编号] 1674-4721（2017）11（c）-0078-03 　　Clinical observation on Dydrogesterone Tablets in the treatment of threatened abortion caused by luteal insufficiency 　　FENG Liu-huan 　　Department of Gynecology and Obstetrics，Nansha District Yuwotou Hospital in Guangzhou City of Guangdong Province， Guangzhou 511475，China 　　[Abstract]Objective To investigate the clinical efficacy of Dydrogesterone Tablets in the treatment of threatened abortion due to luteal insufficiency.Methods A total of 60 cases of luteal insufficiency complicated with threatened abortion who admitted to our hospital were collected as the study subjects from June 21，2015 to June 20，2016.The patients were grouped in accordance with the order of admission.The experimental group was given Dydrogesterone Tablets for treatment， and the routine group was given Progesterone Injection for treatment.The treatment effect of two groups of patients was compared.Results The success rate of preventing miscarriage in experimental group and routine group was 90.00% and 86.67% respectively，there was no statistically significant difference （P0.05）；the incidence rate of adverse reactions in experimental group and routine group was 16.67% and 56.67% respectively，the difference was statistically significant （P0.05）； after treatment，the levels of serum P and E2 in the experimental group after the treatment were significantly better than those in the routine group， the difference was statistically significant （P0.05）.Conclusion The treatment of threatened abortion due to luteal in