宫颈环扎术联合盐酸利托君治疗宫颈功能不全的临床效果分析.pdfVIP

CHINESECOMMUNITYDOCTORS论著·临床论坛

宫颈环扎术联合盐酸利托君治疗宫颈功能不全的临床效果分析

彭晶

410300浏阳市妇幼保健院产科，湖南浏阳

doi:10.3969/j.issn.1007-614x.2024.13.005

摘要目的：分析宫颈环扎术联合盐酸利托君治疗宫颈功能不全的临床效果。方法：选取2022年6月—2023年8月

浏阳市妇幼保健院收治的宫颈功能不全患者64例作为研究对象，选用随机双色球法分为试验组与参照组，各32例。

参照组开展宫颈环扎术治疗，试验组在参照组基础上应用盐酸利托君治疗。比较两组治疗效果。结果：试验组孕周延

长时间以及分娩孕周长于参照组，差异有统计学意义(P＜0.001)。试验组晚期流产、早产发生率低于参照组，足月产发

生率高于参照组，差异有统计学意义(P＜0.05)。试验组新生儿Apgar评分高于参照组，体质量大于参照组，住院时间短

于参照组，差异有统计学意义(P＜0.05)。试验组新生儿不良结局总发生率低于参照组，差异有统计学意义(P=0.020)。

结论：宫颈环扎术联合盐酸利托君治疗宫颈功能不全的临床效果较好，能够延长妊娠时间，改善妊娠结局，降低新生

儿不良结局发生率。

关键词宫颈环扎术；保胎药物；宫颈功能不全

中图分类号R713文献标识码A

ClinicalEffectAnalysisofCervicalCerclageCombinedwithRitodrineHydrochlorideinTreatmentofCervical

Incompetence

PengJing

ObstetricsDepartment,LiuyangMaternalandChildHealthHospital,Liuyang410300,HunanProvince,China

AbstractObjective:Toanalyzetheclinicaleffectofcervicalcerclagecombinedwithritodrinehydrochlorideintreatmentof

cervicalincompetence.Methods:FromJune2022toAugust2023,64patientswithcervicalincompetenceadmittedtoLiuyang

MaternalandChildHealthHospitalwereselectedasthestudysubjects.Theywererandomlydividedintoanexperimentalgroup

andareferencegroupusingatwo-colorspheremethod,with32casesineachgroup.Thereferencegroupwastreatedwithcervical

cerclage,whiletheexperimentalgroupwastreatedwithritodrinehydrochlorideonthebasisofthereferencegroup.Thetreatment

effectswerecomparedbetweenthetwogroups.Results:Theprolongedgestationalageanddeliverygestationalageinthe

experimentalgroupwerelongerthanthoseinthereferencegroup,andthedifferencewasstatisticallysignificant(P0.001).The

incidenceoflatemiscarriageandprematurebirthintheexperimentalgroupwaslowerthanthatinthereferencegroup,whilethe

incidenceoffull-termdeliveryintheexperimentalgroupwashigherthanthatintherefe