河北医学
河北醫學
하북의학
HEBEI MEDICINE
2015年
3期
519-521,522
,共4页
先兆早产%盐酸利托君%硫酸镁
先兆早產%鹽痠利託君%硫痠鎂
선조조산%염산리탁군%류산미
Threatened premature labor%Ritodrine hydrochloride%Magnesium sulfate
目的：通过比较盐酸利托君和硫酸镁治疗先兆早产的临床疗效与不良反应，从而探讨更好的先兆早产治疗方法。方法：选择2010年6月至2013年6月本院妇产科收治的64例先兆早产孕妇作为观察组，并选取同时本院妇产科收治的64例先兆早产孕妇作为对照组，观察组给予盐酸利托君治疗，对照组采用硫酸镁治疗。对比分析两组孕妇治疗后总有效率、显效时间、延长孕期时间、产后出血、新生儿出生时体重、Apgar评分等情况以及孕妇治疗后出现不良反应的情况。结果：观察组总有效率为90．63％高于对照组67．19％，组间差异有统计学意义（χ2＝10．561，P＜0．05）；治疗后观察组显效时间、延长孕期时间、孕妇产后出血、新生儿出生时体重、Apgar评分均显著优于对照组，组间差异有统计学意义（t＝4．127，3．541，5．683，3．031，2．972，P＜0．05）；治疗后两组总不良反应发生率比较差异无统计学意义（χ2＝2．301，P＞0．05）。结论：盐酸利托君治疗先兆早产，疗效显著，显效时间、延长孕期时间、孕妇产后出血、新生儿出生时体重、Apgar评分等方面也均显著优于硫酸镁，并且安全可靠，值得临床应用推广。
目的：通過比較鹽痠利託君和硫痠鎂治療先兆早產的臨床療效與不良反應，從而探討更好的先兆早產治療方法。方法：選擇2010年6月至2013年6月本院婦產科收治的64例先兆早產孕婦作為觀察組，併選取同時本院婦產科收治的64例先兆早產孕婦作為對照組，觀察組給予鹽痠利託君治療，對照組採用硫痠鎂治療。對比分析兩組孕婦治療後總有效率、顯效時間、延長孕期時間、產後齣血、新生兒齣生時體重、Apgar評分等情況以及孕婦治療後齣現不良反應的情況。結果：觀察組總有效率為90．63％高于對照組67．19％，組間差異有統計學意義（χ2＝10．561，P＜0．05）；治療後觀察組顯效時間、延長孕期時間、孕婦產後齣血、新生兒齣生時體重、Apgar評分均顯著優于對照組，組間差異有統計學意義（t＝4．127，3．541，5．683，3．031，2．972，P＜0．05）；治療後兩組總不良反應髮生率比較差異無統計學意義（χ2＝2．301，P＞0．05）。結論：鹽痠利託君治療先兆早產，療效顯著，顯效時間、延長孕期時間、孕婦產後齣血、新生兒齣生時體重、Apgar評分等方麵也均顯著優于硫痠鎂，併且安全可靠，值得臨床應用推廣。
목적：통과비교염산리탁군화류산미치료선조조산적림상료효여불량반응，종이탐토경호적선조조산치료방법。방법：선택2010년6월지2013년6월본원부산과수치적64례선조조산잉부작위관찰조，병선취동시본원부산과수치적64례선조조산잉부작위대조조，관찰조급여염산리탁군치료，대조조채용류산미치료。대비분석량조잉부치료후총유효솔、현효시간、연장잉기시간、산후출혈、신생인출생시체중、Apgar평분등정황이급잉부치료후출현불량반응적정황。결과：관찰조총유효솔위90．63％고우대조조67．19％，조간차이유통계학의의（χ2＝10．561，P＜0．05）；치료후관찰조현효시간、연장잉기시간、잉부산후출혈、신생인출생시체중、Apgar평분균현저우우대조조，조간차이유통계학의의（t＝4．127，3．541，5．683，3．031，2．972，P＜0．05）；치료후량조총불량반응발생솔비교차이무통계학의의（χ2＝2．301，P＞0．05）。결론：염산리탁군치료선조조산，료효현저，현효시간、연장잉기시간、잉부산후출혈、신생인출생시체중、Apgar평분등방면야균현저우우류산미，병차안전가고，치득림상응용추엄。
Objective:To compare the clinical efficacy and adverse reactions of the ritodrine hydrochlo-ride and magnesium sulfate in treatment of threatened premature labor , to explore the better treatment for threatened premature labor .Method:64 cases of pregnant women with threatened preterm labor in our hospi-tal from Jun.2010 to Jun.2013 were selected as the observation group , and 64 cases of pregnant women with threatened preterm labor in our hospital at the same time were as the control group , the observation group was given ritodrine hydrochloride for treatment while the control group used Magnesium sulfate for treatment .The total efficiency , effective time , prolonged pregnancy time , postpartum hemorrhage , neonatal birth weight , Apgar score and occurrence of adverse reaction in pregnant women after treatment were compared between the two groups.Result:The total effective rate of the observation group was 90.63%, higher than 67.19%of the control group, there was significant difference between the two groups (χ2=10.561, P<0.05);the effective time, prolonged pregnancy time , postpartum hemorrhage , neonatal birth weight , Apgar score of the observa-tion group after treatment were significantly better than the control group , there was significant difference be-tween the groups (t=4.127, 3.541, 5.683, 3.031, 2.972, P<0.05);the occurrence of adverse reaction in two groups after treatment had no significant difference (χ2=2.301, P>0.05).Conclusion:Ritodrine hydro-chloride has an obvious curative effect in treatment of threatened premature labor , The onset time , prolonged pregnancy time , postpartum hemorrhage , neonatal birth weight , Apgar score are significantly better than Magnesium sulfate , which is safe and reliable that is worthy of clinical application .
