基层医学论坛
基層醫學論罈
기층의학론단
The Medical Forum
2015年
29期
4034-4036
,共3页
先兆流产%保胎%黄体酮胶丸%绒毛膜促性腺激素
先兆流產%保胎%黃體酮膠汍%絨毛膜促性腺激素
선조유산%보태%황체동효환%융모막촉성선격소
Threatened abortion%Baotai%Progesterone soft capsules%Chorionic gonadotropin
目的 对比单用黄体酮与联合绒毛膜促性腺激素治疗早孕先兆流产的妊娠结局. 方法 选择在我院保胎治疗的早孕先兆流产患者110例,随机分成2组.观察组59例:黄体酮胶丸每次200 mg,2次/d口服,至症状消失停药;对照组51例:黄体酮胶丸200 mg,2次/d口服,同时加用绒毛膜促性腺激素(HCG)3 000 IU隔日1次肌注,至症状消失后停药. 2组患者停药后再次出现流产征兆者仍应用原方案治疗. 每例患者治疗前均做B超证实为"早期妊娠、活胎",观察2组的保胎结局. 结果 症状加重、发育不良胚胎停止发育、要求终止妊娠、足月分娩;妊娠高血压、前置胎盘早剥、胎膜早破、产后出血;新生儿死亡,新生儿窒息、新生儿畸形、体重方面2组均无明显差异性. 结论 早孕先兆流产保胎治疗结局与联合用药无直接关系.
目的 對比單用黃體酮與聯閤絨毛膜促性腺激素治療早孕先兆流產的妊娠結跼. 方法 選擇在我院保胎治療的早孕先兆流產患者110例,隨機分成2組.觀察組59例:黃體酮膠汍每次200 mg,2次/d口服,至癥狀消失停藥;對照組51例:黃體酮膠汍200 mg,2次/d口服,同時加用絨毛膜促性腺激素(HCG)3 000 IU隔日1次肌註,至癥狀消失後停藥. 2組患者停藥後再次齣現流產徵兆者仍應用原方案治療. 每例患者治療前均做B超證實為"早期妊娠、活胎",觀察2組的保胎結跼. 結果 癥狀加重、髮育不良胚胎停止髮育、要求終止妊娠、足月分娩;妊娠高血壓、前置胎盤早剝、胎膜早破、產後齣血;新生兒死亡,新生兒窒息、新生兒畸形、體重方麵2組均無明顯差異性. 結論 早孕先兆流產保胎治療結跼與聯閤用藥無直接關繫.
목적 대비단용황체동여연합융모막촉성선격소치료조잉선조유산적임신결국. 방법 선택재아원보태치료적조잉선조유산환자110례,수궤분성2조.관찰조59례:황체동효환매차200 mg,2차/d구복,지증상소실정약;대조조51례:황체동효환200 mg,2차/d구복,동시가용융모막촉성선격소(HCG)3 000 IU격일1차기주,지증상소실후정약. 2조환자정약후재차출현유산정조자잉응용원방안치료. 매례환자치료전균주B초증실위"조기임신、활태",관찰2조적보태결국. 결과 증상가중、발육불량배태정지발육、요구종지임신、족월분면;임신고혈압、전치태반조박、태막조파、산후출혈;신생인사망,신생인질식、신생인기형、체중방면2조균무명현차이성. 결론 조잉선조유산보태치료결국여연합용약무직접관계.
Objective To investigate the progesterone treatment(single drug group)combined with human chorionic gonadotropin therapy(treatment group)pregnancy outcome of threatened abortion in early pregnant women. Methods 110 cases in our hospital for treatment of threatened abortion Baotai pregnancy patients,randomly divided into two groups. Single medication group of 59 cases:Progesterone Soft Capsules 200 mg each time,2 times/day orally, until the symptoms disappear stops the medicine;combined treatment group 51 cases:Progesterone Soft Capsules 200 mg,2 times/day orally,combined with human chorionic gonadotropin(HCG)injection of 3000 IU once every other day, until the symptoms disappeared after withdrawal of the drug.Two groups of patients after stopping the medicine miscarriage symptom stilluse again the original treatment plan for. Do B ultrasound were confirmed as"early pregnancy, live births" each patient before treatment.Results Two groups of pregnancy outcome of two groups had no obvious difference;the successful pregnancy have smooth production,the newborns showed no obvious abnormality. There is no direct relation between the two groups.Conclusion There is no relation between early pregnancy outcome of threatened abortion Baotai and combined medication.
