医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2013年
19期
2536-2537
,共2页
先兆流产%黄体酮%人绒毛膜促性腺激素%药物治疗
先兆流產%黃體酮%人絨毛膜促性腺激素%藥物治療
선조유산%황체동%인융모막촉성선격소%약물치료
Threatened abortion%Progesterone%Human chorionic gonadotropin%Drug therapy
目的：通过观察黄体酮和绒毛膜促性腺激素（HCG）对先兆流产的治疗效果，探讨两种药物对妊娠结局的影响。方法：选取门诊诊断为早期先兆流产的孕妇279例，分为三组，A 组给予黄体酮20mg 肌内注射，1次/d ；B 组给予HCG 2000IU 肌内注射，1次/d ；C 组为对照组，仅予卧床休息，阴道出血停止后维持用药1周。追踪随访观察对象的妊娠成功率、足月分娩率、流产率、早产率、新生儿畸形率、新生儿并发症、新生儿体重等指标。结果：A 组与 B 组在妊娠成功率及流产率方面差异无统计学意义，但是同 C 组比较差异均有统计学意义。 A 组、B 组新生儿体重高于 C 组，差异有统计学意义。三组新生儿畸形率、新生儿并发症比较，差异均无统计学意义。结论：黄体酮与 HCG 均能改善先兆流产患者的预后，且对母儿无不良影响。
目的：通過觀察黃體酮和絨毛膜促性腺激素（HCG）對先兆流產的治療效果，探討兩種藥物對妊娠結跼的影響。方法：選取門診診斷為早期先兆流產的孕婦279例，分為三組，A 組給予黃體酮20mg 肌內註射，1次/d ；B 組給予HCG 2000IU 肌內註射，1次/d ；C 組為對照組，僅予臥床休息，陰道齣血停止後維持用藥1週。追蹤隨訪觀察對象的妊娠成功率、足月分娩率、流產率、早產率、新生兒畸形率、新生兒併髮癥、新生兒體重等指標。結果：A 組與 B 組在妊娠成功率及流產率方麵差異無統計學意義，但是同 C 組比較差異均有統計學意義。 A 組、B 組新生兒體重高于 C 組，差異有統計學意義。三組新生兒畸形率、新生兒併髮癥比較，差異均無統計學意義。結論：黃體酮與 HCG 均能改善先兆流產患者的預後，且對母兒無不良影響。
목적：통과관찰황체동화융모막촉성선격소（HCG）대선조유산적치료효과，탐토량충약물대임신결국적영향。방법：선취문진진단위조기선조유산적잉부279례，분위삼조，A 조급여황체동20mg 기내주사，1차/d ；B 조급여HCG 2000IU 기내주사，1차/d ；C 조위대조조，부여와상휴식，음도출혈정지후유지용약1주。추종수방관찰대상적임신성공솔、족월분면솔、유산솔、조산솔、신생인기형솔、신생인병발증、신생인체중등지표。결과：A 조여 B 조재임신성공솔급유산솔방면차이무통계학의의，단시동 C 조비교차이균유통계학의의。 A 조、B 조신생인체중고우 C 조，차이유통계학의의。삼조신생인기형솔、신생인병발증비교，차이균무통계학의의。결론：황체동여 HCG 균능개선선조유산환자적예후，차대모인무불량영향。
Objective :To observe the efficacy of Progesterone and Chorionic Gonadotrophin in the treatment of threat-ened abortion ,and approach the effective of two kinds of medicine in the treatment of pregnancy outcome .Methods :The patients was diagnosed as threatened abortion in early pregnant women 279 cases ,divided into 3 groups ,intramuscular injection of Progesterone 20mg ,1 times/day for group A ;intramuscular injection of HCG 2 000IU ,1 times/day for group B ;group C was control group ,only to be bed rest .The deadline for the treatment was vaginal bleeding 1 week af-ter the cessation of maintenance medication .Followed up the success rate of pregnancy observed objects ,full-term de-livery rate ,miscarriage rate ,premature delivery rate ,neonatal malformation rate ,neonatal complications ,neonatal weight and other indicators .Results :The successful pregnancy rate and abortion rate were not significance of difference between group A and group B ,but compared with the C group ,there were significant differences .The neonatal weight of group A and group B were heavier than group C ,the difference was statistically significant .The rate of neonatal malformations and neonatal complications in three groups ,there were not statistically significant .Conclusion :Proges-terone and HCG can improve the prognosis of threatened abortion ,and no adverse effects on mother and child .
