CAJ | 학술논문

目的：探讨黄体酮治疗先兆流产的临床效果及围生儿结局。方法选取我院2011年5月～2014年12月收治的180例早期先兆流产患者作为本次的研究对象，设为观察组，另选同期180例无早期先兆流产患者设为对照组，观察组予以黄体酮进行治疗，对照组予以常规治疗。记录两组新生儿的出生存活例数、新生儿的体重、身长以及胎儿畸形发生率。结果（1）观察组与对照组围生儿存活率、出生体重、身长及畸形发生率比较，差异无统计学意义，P>0.05。观察组的胎儿窘迫率低于对照组，差异具有统计学意义，P<0.05。（2）观察组与对照组血清孕酮水平比较，差异具有统计学意义，P<0.05。结论对先兆流产的孕妇规律使用足量的黄体酮能够有效改善围生儿的结局。
목적：탐토황체동치료선조유산적림상효과급위생인결국。방법선취아원2011년5월～2014년12월수치적180례조기선조유산환자작위본차적연구대상，설위관찰조，령선동기180례무조기선조유산환자설위대조조，관찰조여이황체동진행치료，대조조여이상규치료。기록량조신생인적출생존활례수、신생인적체중、신장이급태인기형발생솔。결과（1）관찰조여대조조위생인존활솔、출생체중、신장급기형발생솔비교，차이무통계학의의，P>0.05。관찰조적태인군박솔저우대조조，차이구유통계학의의，P<0.05。（2）관찰조여대조조혈청잉동수평비교，차이구유통계학의의，P<0.05。결론대선조유산적잉부규률사용족량적황체동능구유효개선위생인적결국。
Objective To study the clinical effect of progesterone in the treatment of threatened abortion and perineonate result.Methods From May 2011 to December 2014,180 cases admitted during the period of early threatened abortion patients as the research object,set as observation group,swap over the same period 180 cases of patients with early threatened abortion set as control group,the observation group with progesterone treatment,the control group with conventional treatments. Records of two groups of neonatal survival cases of birth,newborn body weight,body length and the incidence of fetal abnormalities.Results (1)The survival rate in observation group and control group perinatals,birth weight,body length and malformation rate comparison,there was no statisticaly significant difference,P> 0.05. Fetal distress rate of observation group was obviously lower than the control group,the difference was statisticaly significant,P< 0.05. (2)The observation group compared with control group in serum progesterone level,the difference was statisticaly significant,P< 0.05.Conclusion The regulation of threatened abortion of pregnant women use plenty of progesterone can effectively improve the perinatal outcome.