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子宫收缩抑制剂用于前置胎盘的期待治疗
作者:蒋小青 刘毅 王净 
单位:东南大学附属中大医院,妇产科,江苏,南京,210009
关键词:子宫收缩抑制剂 前置胎盘 期待疗法 
分类号:R714.43
出版年·卷·期(页码):2002·21·第三期(247-249)
摘要:

目的:探讨子宫收缩抑制剂用于前置胎盘期待治疗的效果、副作用和围产儿结局.方法:将50例未足月前置胎盘孕妇分为两组.治疗Ⅰ组30例,采用硫酸镁加舒喘灵(沙丁胺醇)治疗;治疗Ⅱ组20例,采用安宝(利托君)治疗.结果:两组比较,治疗Ⅰ组延长孕期平均27.00 d,治疗Ⅱ组延长孕期平均30.25 d,无统计学意义(P>0.05).治疗Ⅰ组新生儿出生体重平均2 456 g,新生儿Apgar评分平均6.75分,治疗Ⅱ组新生儿出生体重平均3 106 g,新生儿Apgar评分平均9.12分,有统计学意义(均为P<0.001).结论:子宫收缩抑制剂用于前置胎盘期待治疗效果好、安全.治疗Ⅱ组围产儿结局优于Ⅰ组.

Objective  To investigate the effectiveness,side effect,outcome of perinatal infants of the expectant treatment in placenta previa with depressant of uterine contraction.Methods  50 wemen with placenta previa of preterm labor were assigned into two groups.30 patients treated with magnesium sulfate and salbutamol were served as study Ⅰ group.20 patients enrolled in the study Ⅱ group,receiving ritodrine.Results  The study Ⅰ group prolonged the gestational period to an average of 27.00 days.The study Ⅱ group prolonged the gestational period to an average of 30.25 days.The difference of two groups had no significance(  P  &gt;0.05).The study Ⅰ group increased the birth weight of newborn to an average of 2?456?g and Apgar score of newborn is 6.75.The study Ⅱ group increased the birth weight of newborn to an average of 3?106?g and Apgar score of newborn is 9.12 (  P  &lt;0.001).Conclusion  Depressant of uterine contraction is highly effective and safe for expectant treatment of placenta previa.The outcome of perinatal infant of the study Ⅱ group is better than that of the study Ⅰ group.

参考文献:

[1] BARDEN T P, PETER J B, MARKATZ I R. Ritodrine hydrochloride:a beta-mimetic agent for use in preterm labor.Pharmacology,clinical history,administration,side effects and safety, 1980
[2] MERKATZ I R, PETER J B, BARDEN T P. Ritodrine hydrochloride:a betamimetic agent for use in preterm labor evidence of efficacy, 1980
[3] 朱宝馀, 符玉良. 羟苄羟麻黄碱治疗早产的临床观察, 1996
[4] 庄依亮. 子宫收缩抑制剂的药理与临床应用. 中国新药与临床杂志1999(3). doi:10.3969/j.issn.1007-7669.1999.03.017
[5] 蒋式时. 妊娠期哺乳期用药, 2001 

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